Form 1: REFEREE INSCRIPTION

VETERANS WORLD CHAMPIONSHIPS 2017

Form 1: REFEREE INSCRIPTION

Please return before August 12, 2017
Mr. Donald Ferland Veterans Referee Director
e-mail:
also CC to :Mr. Guerrino De Patre
e-mail:
Federation: ______/ Country-code: ______

Address:______

______

Phone: ______Fax: ______

E-mail: ______@ ______

I would like to participate in the 2016 World Championships for Veterans and I understand that my Federation as to approve my participation, if I am nominated.

REFEREE
NAME: / ______/ ADDRESS: ______
FIRST NAME: / ______/ ______
______
______
SEX: MALE / FEMALE

September 30 - October 03, 2017

Form 2: HOTEL ORDER FORM

Please return before August 29, 2017 / Please send this form directly to :

Federation / Club / Individual: ______

Address:______

______

Phone: ______Fax: ______E-mail: ______@ ______

Room Type / Arrival Date / Departure Date / Geo Village Resort
(Includes Breakfast
and transfer)
Single / _____# rooms x €.120.00 Euro x 1
person x ____#nights =
Double / _____# rooms x €.75.00 Euro x 2
person x ____#nights =
Triple / _____# rooms x €.55.00 Euro x 3
person x ____#nights =
Quadruple / _____# rooms x €.48.00 Euro x 4
person x ____#nights =
Room Type / Arrival Date / Departure Date / Colonna Beach Valtur
(Includes Breakfast
and transfer)
Single / _____# rooms x €.125.00 Euro x 1
person x ____#nights =
Double / _____# rooms x €.80.00 Euro x 2
person x ____#nights =
Triple / _____# rooms x €.60.00 Euro x 3
person x ____#nights =
Quadruple / _____# rooms x €.53.00 Euro x 4
person x ____#nights =

Total Due:______

This reservation becomes valid if you received an invoice. Reservations must be made through the organizers to guarantee availability and room rates above.

Wait confirmation of hotel reservation by organizer before making payment.

VETERANS WORLD CHAMPIONSHIPS 2017

Form 3: MEAL COUPON ORDER FORM

Please return before October 7, 2017 / Please send this form directly to :

Federation / Club / Individual: ______

Address:______

______

Phone: ______Fax: ______E-mail: ______@ ______

Meal coupons are good only for use at Geo Village Resort and Colonna Beach Hotel Dinner € 25.00 EURO per coupon

______# coupons x ______# days x €.25.00 EURO = ______

Total Due for Meals : €.______

September 30 - October 03, 2017

Form 4: TRANSPORTATION ORDER FORM

Federation / Club / Individual: ______

ARRIVAL

PLANE

Date / Time / Flight number / From / Airport / Persons
number

DEPARTURE

PLANE

Date / Time / Flight number / From / Airport / Persons
number

This form has to be filled in and sent within August 29, 2017to:

Transportation from and to Olbia Costa Smeralda Airport Pick-up times will be posted on the website.

VETERANS WORLD CHAMPIONSHIPS 2017

Form 5: COACH ACCREDITATION

Federation:______

Surname:

Name:

E-mail:

______

______@ ______

Surname:

Name:

E-mail:

______

______@ ______

______x €.50.00 Euro each = ______

Total Due: ______

Please send form’s to :

September 30 - October 03, 2017

Form 6: INTERNATIONAL TRAINING CAMP OCTOBER 04-05

Name of athlete______

Number of Days Participating:#______x €.50.00 Euro each = ______

Specify Dates of Participation: ______

Total Due: ______

Please send form’s to

VETERANS WORLD CHAMPIONSHIPS 2017

Form 7: PARTICIPATION ENTRY FORM

Participant’s Name: Last Name (Family Name, Surname)First Name

Street Address:

City:State:Zip Code:

Country:Cell/Mobile

Date of Birth (month/day/year)

Judo Rank:Name of Coach:

Judo Club Name:

E-mail Address:

Circle your age group and weight category:

M1/F1 / M2/F2 / M3/F3 / M4/F4 / M5/F5 / M6/F6 / M7/F7 / M8/F8 / M9/F9 / M10/F10
30-34 / 35-39 / 40-44 / 45-49 / 50-54 / 55-59 / 60-64 / 65-69 / 70-74 / 75-79
Female: / 48 Kg / 52 Kg / 57 Kg / 63 Kg / 70 Kg / 78 Kg / +78 Kg
Male: / 60 Kg / 66 Kg / 73 Kg / 81 Kg / 90 Kg / 100 Kg / +100 Kg

September 30 - October 03, 2017

Form 8: VISA APPLICATION FORM

Federation: ______

Our delegation needs the invitation from______till the______

of ______2017.

We will apply for visas at the ______Embassy in ______

(Nation / City)

No / Family Name / First Name / Position / Date of Birth / Place of Birth
Nationality / Passort number / Date of issue / Date of expiry
1

Please send this form with copy of passport no later than the 28th of August 2017 to the Organizer :

–

VETERANS WORLD CHAMPIONSHIPS 2017

WIRE TRANSFER PAYMENT FORM

Name of Athlete:______

Address: ______Zip Code: ______

Telephone #: ______

E-mail: / ______@ ______
Total Fees Form 2 – Hotel Accommodation / €______
Total Fees Form 3 – Meal Coupons / €______
Total Fees Form 5 / – Coach Accreditation / €______
Total Fees Form 6 / - Training Camp / €______
Total Fees Form 7 / - Participant Accreditation / €______
Total Purchases / €.______
Amount / in EURO:______

Signature:_Date: ______

Send mail to: with copy of payment by wire transfer

2017 World Veterans Judo Championships