federazione italiana sport paralimpici degli intellettivo relazionali ENTRY BY NAMES FORM Country
SU-DS Date of Birth Passport/ID Card T-shirt Surname Given Name Gender Role Registration no. (DD/MM/YYYY) No. size federazione italiana sport paralimpici degli intellettivo relazionali ENTRY BY NAMES FORM Country
SU-DS Date of Birth Passport/ID Card T-shirt Surname Given Name Gender Role Registration no. (DD/MM/YYYY) No. size federazione italiana sport paralimpici degli intellettivo relazionali ENTRY BY NAMES FORM Country
SU-DS Date of Birth Passport/ID Card T-shirt Surname Given Name Gender Role Registration no. (DD/MM/YYYY) No. size
If you need to fill more copies of this form, please name them [country]_bynumbers_1, [country]_bynumbers_2 etc.
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies federazione italiana sport paralimpici degli intellettivo relazionali
TRAVEL INFORMATION FORM
Country/Delegation
Chosen Mean of Transport Plane Train Bus/Private Car
Point of Entry Bologna Airport Ferrara Train St. Other
Do you require a wheelchair accessible bus? Yes No
Please note that transportation to and from the point of entry is included in the accommodation package price only for arrivals into Bologna Airport and Ferrara Train Station.
FLIGHT/TRAIN INFO
Arrival
Date Flight/Train No. Time
Arriving from
Departure
Date Flight/Train No. Time
Leaving from Destination
Travel Info Form Page no. 1 of 1 ATHLETICS COMPETITION FORM
federazione italiana sport paralimpici Country degli intellettivo relazionali
Minimums must be in 00.00 or 00.00.00 format for times and in 00.00 format for lengths; do not add the unit of measurement.
If a competition does NOT have a minimum, please write “X” or “Yes” in the relevant column relay relay 100 m 800 m 800 m 200 m 400 m Discus SU-DS Date of Birth 1500 m 1500 m Javelin 4x100 m Shot put Shot 4x400 m Triathlon
Surname Given Name Gender T21/M walk race walk race Registration no. (DD/MM/YYYY) jump Long
TEAM STAFF Surname Given Name Gender DOB (DD/MM/YYYY) Position/Role
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies federazione italiana sport paralimpici degli intellettivo relazionali 4X4 BASKETBALL COMPETITION FORM
Country
Players
SU-DS Surname Name Date of Birth Gender T21/Mos. (DD/MM/YYYY) (M/F) Reg. no.
Team Staff
Surname Name Gender Role/Position (M/F) federazione italiana sport paralimpici degli intellettivo relazionali FUTSAL COMPETITION FORM
Country
Players
SU-DS Surname Name Date of Birth Gender T21/Mos. (DD/MM/YYYY) (M/F) Reg. no.
Team Staff
Surname Name Gender Role/Position (M/F) federazione italiana sport paralimpici degli intellettivo relazionali JUDO COMPETITION FORM
Country
Judoka
SU-DS Surname Name Date of Birth Gender T21/Mos. Weight (DD/MM/YYYY) (M/F) Reg. no. (Kg)
Team Staff
Surname Name Gender Role/Position (M/F) SWIMMING COMPETITION FORM - INDIVIDUAL RACES
federazione italiana sport paralimpici Country degli intellettivo relazionali
Minimums must be in 00.00 or 00.00.00 format for times; do not add the unit of measurement. Individual Freestyle Backstroke Breaststroke Butterfly If a competition does NOT have a minimum, please write “X” or “Yes” in the relevant column. Medleys The Team Staff section on page 2 is valid for both the individual races and the relays.
SU-DS Year of 25 m 25 m 25 m 25 m 50 m 50 m 50 m 50 m 100 m 100 m 100 m 100 m 100 m 800 m 200 m 200 m 200 m 200 m 200 m 400 m Surname Given Name M/F T21/M 400 m Reg. no. Birth 1500 m
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies SWIMMING COMPETITION FORM - TEAM STAFF
federazione italiana sport paralimpici Country degli intellettivo relazionali
Surname Name Gender Date of Birth Role/Position (DD/MM/YYYY)
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies SWIMMING COMPETITION FORM - RELAYS
federazione italiana sport paralimpici Country degli intellettivo relazionali
4x50 m Freestyle - MALE 4x50 m Freestyle - FEMALE
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name T21/M # Surname Given Name T21/M Registration no. (DD/MM/YYYY) Registration no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
4x100 m Freestyle - MALE 4x100 m Freestyle - FEMALE
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name T21/M # Surname Given Name T21/M Registration no. (DD/MM/YYYY) Registration no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
4x200 m Freestyle - MALE 4x200 m Freestyle - FEMALE
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name T21/M # Surname Given Name T21/M Registration no. (DD/MM/YYYY) Registration no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies SWIMMING COMPETITION FORM - RELAYS
federazione italiana sport paralimpici Country degli intellettivo relazionali
4x50 m Medley - MALE 4x50 m Medley - FEMALE
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name T21/M # Surname Given Name T21/M Registration no. (DD/MM/YYYY) Registration no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
4x100 m Medley - MALE 4x100 m Medley - FEMALE
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name T21/M # Surname Given Name T21/M Registration no. (DD/MM/YYYY) Registration no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
4x100 m Freestyle - MIXED 4x100 m Medley - MIXED
SU-DS Date of Birth SU-DS Date of Birth # Surname Given Name M/F T21/M # Surname Given Name M/F T21/M Reg. no. (DD/MM/YYYY) Reg. no. (DD/MM/YYYY)
1 1
2 2
3 3
4 4
R R
R R
Please return this form by 15 July 2021 by email to [email protected]. Do NOT print and fill this form by pen or pencil; we will only accept electronically filled copies federazione italiana sport paralimpici degli intellettivo relazionali
SYNCHRONIZED SWIMMING COMPETITION FORM Country
Solo Tech
SU-DS Surname Name Date of Birth Gender T21/Mos. (DD/MM/YYYY) (M/F) Reg. no.
Solo Free
SU-DS Surname Name Date of Birth Gender T21/Mos. (DD/MM/YYYY) (M/F) Reg. no.
Duet Tech
SU-DS Surname Name Date of Birth Gender T21/Mos. # (DD/MM/YYYY) (M/F) Reg. no.
1
2
Duet Free
SU-DS Surname Name Date of Birth Gender T21/Mos. # (DD/MM/YYYY) (M/F) Reg. no.
1
2
Synchronized Swimming Form Page no. 1 of 2 federazione italiana sport paralimpici degli intellettivo relazionali
SYNCHRONIZED SWIMMING COMPETITION FORM Country
Team Tech
SU-DS Surname Name Date of Birth Gender T21/Mos. (DD/MM/YYYY) (M/F) Reg. no.
Team Staff
Surname Name Date of Birth Gender Role/Position (DD/MM/YYYY) (M/F)
Synch. Swimming Form Synchronized Swimming Form Page no. 2 of 2 Page no. 2 of 2 federazione italiana sport paralimpici degli intellettivo relazionali TENNIS COMPETITION FORM Country
SU-DS Date of Birth Mixed Surname Given Name Gender T21/M Singles Doubles Registration no. (DD/MM/YYYY) Doubles
Please fill in the Team Staff section on page 2 federazione italiana sport paralimpici degli intellettivo relazionali TENNIS COMPETITION FORM Country
TEAM STAFF
Date of Birth Surname Given Name Gender Role/Position (DD/MM/YYYY) federazione italiana sport paralimpici degli intellettivo relazionali TABLE TENNIS COMPETITION FORM Country
SU-DS Date of Birth Mixed Surname Given Name Gender T21/M Singles Doubles Team Registration no. (DD/MM/YYYY) Doubles
Please fill in the Team Staff section on page 2 federazione italiana sport paralimpici degli intellettivo relazionali TABLE TENNIS COMPETITION FORM Country
TEAM STAFF
Date of Birth Surname Given Name Gender Role/Position (DD/MM/YYYY)