0929a National Veterans Creative Arts Festival, Participant Re

NATIONAL VETERANS
CREATIVE ARTS FESTIVAL
PARTICIPANT REGISTRATION CHECK LIST
You must completely and correctly fill out the enclosed packet, or your application will not be processed!
Registration deadline is
.
YOU MUST INCLUDE THE FOLLOWING FORMS FILLED OUT COMPLETELY. DO NOT SEND APPLICATION
WITHOUT ALL OF THE FOLLOWING:
PARTICIPANT REGISTRATION APPLICATION (VA Form 0929b)
PARTICIPANT MEDICAL INFORMATION (VA Form 0929c)
COMPLETED VA FORM 10-10EZ, APPLICATION (Please see your VA Supervisor of Admissions/Eligibility, Release of
Information or Claims Clerk to obtain a copy of your completed 10-10EZ application.) A HARD COPY OF THE 10-10EZ
APPLICATION CAN BE SENT ALONG WITH YOUR COMPLETED FORMS OR IT MAY BE SENT
ELECTRONICALLY TO
TRAVEL INFORMATION (VA Form 0929b) (Can be sent later if travel information is not known, but please provide
by
.)
FAMILY AND FRIENDS LODGING AND MEALS (VA Form 0929e) (If applicable)
PARTICIPANT AGREEMENT (VA Form 0929f)
TICKET REQUEST (VA Form 0929g) (If applicable)
ANY APPLICABLE FEES
PARTICIPANT CLEARANCE FORM (Please verify with your staff contact person that he/she will be completing and
submitting this form.)

RETURN ALL COMPLETED FORMS BY
TO:
LINDA ZAIONTZ, Host Site Coordinator (11K)
National Veterans Creative Arts Festival
South Texas Veterans Health Care System
7400 Merton Minter Blvd.
San Antonio, TX 78229
Phone: (210) 617-5125
FAX: (210) 617-5276
Linda.Zaiontz@va.gov

VA FORM
APR 2010

0929a

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