0927a National Veterans Tee Tournament, Registration Check Lis

OMB Number:
Respondent Burden: 20 minutes

NATIONAL VETERANS TEE TOURNAMENT
REGISTRATION CHECK LIST
RESPONDENT BURDEN: The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the
clearance requirements of Section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond
to, a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this
application will average 20 minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the forms.

PLEASE ENSURE THE ENCLOSED PACKET IS COMPLETELY AND CORRECTLY
FILLED OUT OR YOUR APPLICATION CANNOT BE PROCESSED.
NAME (First, MI, Last)

PLEASE INCLUDE THE FOLLOWING FORMS:
PARTICIPANT REGISTRATION APPLICATION (Filled out by the competitor) (Form 0927b)
PARTICIPANT PHYSICAL EXAM (Filled out and signed by a medical examiner) (Form 0927c)
MEDIA AND NEWS RELEASE QUESTIONNAIRE (Form 0927d)
PARTICIPANT/COMPANION/VOLUNTEER REGISTRATION (Form 0927e)
CHECK OR MONEY ORDER - DO NOT SEND CASH

PLEASE MAIL COMPLETED REGISTRATION FORMS, INCLUDING YOUR CHECK OR MONEY ORDER TO:

QUESTIONS, PLEASE CALL:

YOU WILL RECEIVE A CONFIRMATION LETTER ONCE YOUR APPLICATION HAS BEEN ACCEPTED.

VA FORM
JUN 2010

0927a

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