0926a National Veterans Golden Age Games, Registration Check L

OMB Number:
Respondent Burden: 20 minutes

NATIONAL VETERANS
GOLDEN AGE GAMES
REGISTRATION CHECK LIST
DEADLINE:

PLEASE ASK YOUR COACH OR MEDICAL CENTER STAFF TO REVIEW THIS
CHECKLIST WITH YOUR ATTACHED FORMS PRIOR TO MAILING.

NAME (First, MI, Last)

ATHLETE FORMS
ATHLETE APPLICATION (Form 0926b)
EVENT SELECTION (Form 0926b)
MEDIA AND NEWS RELEASE QUESTIONNAIRE (Form 0926c)
WAIVER AND RELEASE OF LIABILITY (Form 0926d)
GENERAL MEDICAL INFORMATION (Form 0926e)
CURRENT EKG REPORT
CURRENT MEDICATION PROFILE
ALTERNATE ACTIVITIES SELECTION (Form 0926f)

NON-COMPETITORS (coaches, support staff, family members) may purchase meal tickets by the day
or week. See Form 0926i: Non-Competitor Meals.

The NVGAG Website, event rules, and registration forms can be found on the internet at:
www.veteransgoldenagegames.va.gov

VA FORM
APR 2010

0926a

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