0926i Non Competitor Meals

ATHLETE NUMBER-OFFICE USE ONLY

OMB Number:
Respondent Burden: 20 minutes

NON-COMPETITOR MEALS
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.
NAME (Please print)

Meals are furnished for all competitors. Coaches, supports staff, family members, and others may purchase meal tickets at the costs listed
below.
Please tell us which meals you would like to purchase:
NON-GOVERNMENT
EMPLOYEE

VA/GOVERNMENT
EMPLOYEE

$309.00

$259.00

ALL MEALS, ALL DAYS
SUNDAY

DINNER ONLY

$ 27.00

$ 27.00

MONDAY

THREE MEALS

$ 54.00

$ 44.00

TUESDAY

THREE MEALS

$ 54.00

$ 44.00

WEDNESDAY

THREE MEALS

$ 54.00

$ 44.00

THURSDAY

THREE MEALS

$ 54.00

$ 44.00

FRIDAY

THREE MEALS

$ 54.00

$ 44.00

SATURDAY

BREAKFAST ONLY

$ 12.00

$ 12.00

TOTAL:

$

$

PLEASE INDICATE IF YOU REQUIRE MEAL ACCOMMODATION FOR A SPECIAL DIET
DIABETIC
VEGETARIAN
OTHER (Please specify)

**PAYMENT FOR NON-COMPETITOR MEALS AND ALL ALTERNATE ACTIVITIES IS NON-REFUNDABLE.**
PAYMENT FOR NON-COMPETITOR MEALS WILL BE ACCEPTED UPON YOUR ARRIVAL AT THE GAMES.
ONLY CASH/MONEY ORDER AND CREDIT/DEBIT CARDS WILL BE ACCEPTED AS PAYMENT

NON-COMPETITOR ALTERNATE ACTIVITIES
PLEASE REFER TO VA FORM 0926g

VA FORM
JUN 2010

0926i

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