<p> JOAD Olympian Achievement Award Request for Recognition</p><p>Award Requested: Bronze Olympian Indoor Recurve Silver Olympian Outdoor Compound Gold Olympian</p><p>Name: ______</p><p>Address: ______</p><p>City: ______State: ______Zip: ______</p><p>Phone: ______Forward Award Presentation to club address: Gender: Male Female ______Date of Birth: ______Club Affiliation: ______Contact Phone: ______</p><p>USA Archery Membership Expiration: ______</p><p>Jacket Size (First time Olympian Award Only) Adult: X-Small Med XL 3XL Small Large XXL</p><p>Type of Round: JOAD Round 70 Meter FITA Outdoor FITA-I</p><p>Type of Event: Sanctioned STAR Sanctioned Qualifier Club</p><p>Date of Event: ______Organizer: ______</p><p>Name of Event: ______Official Present: ______</p><p>I hereby certify that the awards requested were shot according to USA Archery JOAD Rules and Guidelines</p><p>______Judge Level 5 Signature Level 4 Level 3 Level 2 Please attach a complete, legible and signed copy of scorecard and send to:</p><p>USA Archery 4065 Sinton Road, Suite 110 Colorado Springs, CO 80907</p><p>Direct any questions to the USA Archery Office: (719) 866-4576 or [email protected]</p>