THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS. COMPETITORS 12 and under

Transcription

1 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia COMPETITORS 12 and under Federation/Club : Head of Delegation: A. Entry by No. Surname, Given Birth Year B. Entry by Competition Solo #1 Solo #2

2 COMPETITORS 12 and under. Page 2 Duet #1 Duet #2 Team s s

3 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia COMPETITORS 13 to 15 Federation/Club : Head of Delegation: A. Entry by No. Surname, Given Birth Year B. Entry by Competition Solo #1 Solo #2

4 COMPETITORS 13 to 15. Page 2 Duet #1 Duet #2 Team s s

5 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia COMPETITORS Junior Federation/Club : Head of Delegation: A. Entry by No. Surname, Given Birth Year B. Entry by Competition Solo #1 Solo #2

6 COMPETITORS Junior. Page 2 Duet #1 Duet #2 Team s s

7 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia COMPETITORS Senior Duet Tech Federation/Club : Head of Delegation: A. Entry by No. Surname, Given Birth Year B. Entry by Competition Duet #1 Duet #2

8 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia COMPETITORS Senior Duet Free Federation/Club : Head of Delegation: A. Entry by No. Surname, Given Birth Year B. Entry by Competition Duet #1 Duet #2

9 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia HOTEL INFORMATION FORM Complete and send these forms no later than August 01 st, 2012 by to: C.C. Please include the attached rooming list Federation/Club : Head of Delegation: Address: Telephone: Fax: Total number of persons, including swimmers:

10 ROOMING LIST HOTEL: # of single rooms: 1. : 2. : 3. : 4. : 5. : 6. : 7. : 8. : 9. : 10. :

11 # of double rooms: 1 1. : 2. : 2 1. : 2. : 3 1. : 2. : 4 1. : 2. : 5 1. : 2. : 6 1. : 2. : 7 1. : 2. : 8 1. : 2. : 9 1. : 2. : : 2. :

12 # of triple rooms: 1. : 1 2. : 3. : 1. : 2 2. : 3. : 1. : 3 2. : 3. : 1. : 4 2. : 3. : 1. : 5 2. : 3. : 1. : 6 2. : 3. : 1. : 7 2. : 3. :

13 . Page 2 1. : 8 2. : 3. : 1. : 9 2. : 3. : 1. : : 3. :

14 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia OFFICIALS Federation : Head of Delegation: Team Leader: Coaches: Judges Level A-B-G Please indicate how many of each size of shirt: Women: S M L XL XXL Men: S M L XL XXL Will your delegation require the service of a local interpreter? Yes No Preferred language:

15 THE UANA PAN AMERICAN SYNCHRONIZED SWIMMING CHAMPIONSHIPS August 29 September 02, 2012 Cali, Colombia ACCOMMODATION INFORMATION: The total price per person per day is: Hotels Single Occ. Double Occ. Triple Occ. 1 Dann Cali - (5 Star) 190 USD 150 USD 140 USD 2 Torre de Cali - Plaza Hotel (4 Star) 170 USD 140 USD 120 USD This package includes: - Registration fee - Accommodation - All meals - All transportation Please send the registration form complete with the accommodation. The invoice will be send immediately. Please see the attached form to make your payment by bank transfer. Complete payment must accompany your final registration.

16 FEDERACION COLOMBIANA DE NATACION DATOS PARA TRANSFERENCIA BANCARIA BANCO INTERMEDIARIO: CITI BANK N.A. New York 111 Wall Street, New York N. Y USA. CODIGO SWIFT (CITIUS33) ABA No CHIPS No BANCO PAGADOR: BANCO DE OCCIDENTE Carrera 4 No Tel Cali, Colombia. CODIGO SWIFT (OCCICOBC) Cuenta No BENEFICIARIO: FEDERACION COLOMBIANA DE NATACION Cuenta Corriente No Banco de Occidente, Of. Principal, Cali, Colombia. Dirección: Calle 8 No Of. 406 Tel Fax: fecolnat@emcali.net.co