DISABLED WATER SKI WORLD CHAMPIONSHIPS

AUGUST 28- 31, 2003

CRANES ROOST - ALTAMONTE SPRINGS, FLORIDA USA

OFFICIAL ENTRY FORM

The Water Ski Federation enters the following skiers:

OFFICIAL CATEGORIES

A

A+L

L

LP

MP1

MP2

MP3

V1

V2/3

If sending reserve skiers, please check reserve before name.

If sending a minor, please check minor before name and sign declaration for minors.

If sending a world record holder not competing as part of your team, check non-team.

FAMILY NAME

FIRST NAME

G

E

N

D

E

R

DATE OF BIRTH

CATEGORY

SLALOM

AUDIO

SLALOM

TRICKS

JUMP

RAMP

HEIGHT

Reserve 

Non-Team 

Minor

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Reserve 

Non-Team 

Minor 

                 

1m 

1.25m 

1.50m 

Team Representatives

(Please Print)

 

Team Captain

(Please Print)

 

 

DISABLED WATER SKI WORLD CHAMPIONSHIPS

AUGUST 28- 31, 2003

CRANES ROOST - ALTAMONTE SPRINGS, FLORIDA USA

 

Dear Federation Official,

It is important that you return the requested information by the deadline.

ENTRY FORM

To be completed and returned before August 1, 2003 to:

Organizing Committee:

Jerrey Thurston

Local Organizing Committee

Altamonte Sports

PHONE: 407-468-7958

FAX: 407-869-2590

Email: jerreyt@altamonte.org

ENTRY FEES

The Entry Fees for the 2003 Disabled Water Ski World Championships are USD $80.00 for one (1) or two (2) event skiers, USD $100.00 for three (3) event skiers. Payment of Entry Fees must be made by Money Order or Cashiers Check, payable to Altamonte Sports, in U.S. Currency. Entry Fees are due by August 1, 2003.

DEMONSTRATION SKIERS

Please indicate on a separate sheet the names of any demonstration skiers accompanying your team providing us with the same information as required for team skiers above and, in addition, information in accordance with IWSF Disabled Technical Rules Appendix 1, A1.04.

MEDICAL FORM

Each skier is required to bring a completed medical form (sample attached below) to registration and classification on Monday, August 25, 2003.

LATE FEE

The late fee is USD $25.00 per skier for each day after August 15, 2003.

WAIVERS

It important to sign and return one or both waivers below as needed by August 1, 2003.

 

DISABLED WATER SKI WORLD CHAMPIONSHIPS

AUGUST 28- 31, 2003

CRANES ROOST - ALTAMONTE SPRINGS, FLORIDA USA

WAIVERS

General Waiver

I certify that the information listed in the Entry Form is true and that each registered skier is in possession of a skiing license and a valid insurance that relieves the organizing federation, the officials, official carriers and the IWSF of any responsibility for any accident which would occur to the skier, or damage to his/her equipment during competition and training.

NAME OF FEDERATION OFFICIAL (Please Print) _____________________________________

SIGNATURE OF FEDERATION OFFICIAL ______________________________________

POSITION IN FEDERATION ______________________________________

 

Declaration for Minors, to be read and signed

I the undersigned, being a Representative of the ________________________________ Federation confirm that consent for each competitor entered to participate in the Disabled Water Ski World Championships 2003, who is a minor, has been obtained from his/her parent/guardian.

NAME OF FEDERATION OFFICIAL (Please Print) _____________________________________

SIGNATURE OF FEDERATION OFFICIAL ______________________________________

POSITION IN FEDERATION ______________________________________

 

 

SKIERS MEDICAL FORM

CONFIDENTIAL

Please Print or Type:

Name:



Address:

 




Date of Birth Team


Disability:



Actual Lesion Function Lesion

Medical Conditions which may affect participation in competitions and associated activities e.g. Epilepsy, Diabetes, Asthma, etc.


 




Outline Severity of Condition

 



 


Previous Classification:


Date and place of Classification:

Classification in Other Sports



Date & Place of Classification

accessibility information sheet

It is a requirement of the IWSF Council for Disabled that a completed copy of this Information Sheet be sent to each participating federation

HOTEL

Provision of Elevator [Yes] Ramp [Yes] Stairs only [No]

If Elevator How wide is the doorway [180/72 ] cm/inches

How deep is the elevator [375/150] cm/inches

Yes No

Railing beside all stairs [ x ] [ ]

Marks in colors where stairs begin and end [ x ] [ ]

Toilets with handles beside toilets and bath/shower [ x ] [ ]

Chairs/stool provided for shower [ ] [ x ]

WIDTH OF DOORS

To Hotel [180/72] cm/ins Bedrooms [180/72] cm/in

Bathrooms [180/72] cm/ins

Toilets [180/72] cm/ins Shower [180/72] cm/ins

Restaurant [180/72] cm/ins

Leisure Facilities [180/72] cm/ins

 

If possible please send a Plan/Map of the Hotel: Not available

SITE Yes No

Ramps where there are stairs [ x ] [ ]

Railings beside all stairs [ x ] [ ]

Railings on both sides of catwalk [ x ] [ ]

Marks in colors where stairs/steps begin and end [ x ] [ ]

Toilets with handles beside toilet and bath/shower [ x ] [ ]

WIDTH OF DOORS

Around facility [180/72]cm/inches To Changing Rooms [180/72] To Bathroom/Toilet [180/72]

GENERAL INFORMATION

Facilities provided - P.A. [Yes] Translation [No] Wheelchair accessible phones [Yes]