DISABLED WATER SKI WORLD CHAMPIONSHIPS
AUGUST 28- 31, 2003
CRANES ROOST - ALTAMONTE SPRINGS, FLORIDA
USAOFFICIAL 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 |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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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 |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Reserve Non-Team Minor |
1m 1.25m 1.50m |
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Team Representatives (Please Print) |
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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:
Medical Conditions which may affect participation in competitions and associated activities – e.g. Epilepsy, Diabetes, Asthma, etc.
Classification in Other Sports
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 NoRamps 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]