Special Olympics World Summer Games ATHENS 2011 Athens, Greece June 25 July 4, 2011 All-Star Fans Registration Form This information is being collected on behalf of Special Olympics and will be processed at Special Olympics Headquarters in Washington, D.C., USA or the Games Organizing Committee (GOC) ATHENS 2011. It will be used only by Special Olympics and the Special Olympics World Summer Games ATHENS 2011. Please complete the below information and return it to your Special Olympics All-Star Fans Guest Coordinator. Please also include: A copy of your actual travel itinerary Your Fanbook Bio and Photo Your Credential Photo (if different from your Fanbook photo) Section 1 Primary Guest Registration Information Prefix / Title* Given / First Name Middle Name Family Name / Surname* Suffix (e.g. Mr., Mrs., Dr., etc) (e.g. Jr., Ph.D., etc) Organization* Position / Title* Mailing Address Street Address 1: Street Address 2: City: State/Province: Zip/Postal Code: Country: Contact Person (if different than Guest) Affiliated Special Olympics Program or Region (if applicable) Contact Information: Business Phone* Home Phone Cellular/Mobile Phone Fax E-mail* Contact in Case of Emergency: Full Name Relationship to Guest E-mail Address Phone (Type) Credential Information: Please indicate exactly how you want to appear on your credential Credential Full Name* Credential Organization* Credential Position* ASF Registration Form page 1 of 5
Section 2 Passport and Visa Information Please fill out, all the information regarding Passport and Visa (if needed) as they are mandatory. PASSPORT Information : Passport Number* Nationality* Passport Country* Gender (Male/Female) Date of Birth (Month/Day/Year) Passport Issue Location* Passport First Name* Passport Middle Name Passport Last Name* Passport Issue Date* Passport Expiration Date* Passport information is required to secure your credential. VISA Information : Visa information should only be filled in if you require a VISA to visit Greece. Please see the attachment for a full list of countries and locations of Visa issuing Embassies or Consulates, and countries that require or do not require a VISA. Full Name (as written on passport)* Date of Birth (Month/Day/Year)* Place of Birth* Nationality* Gender* Passport Number* Expiration Date of Passport* I.D. Number (in case you do not have passport, and you need an invitation letter in order to apply for a passport)* Embassy or Consulate where you apply for Schengen Visa* Duration of your stay in Greece* Name and Address of the hotel you will be staying at during your time in Greece.* ASF Registration Form page 2 of 5
Section 3 Language and Special Needs Language Information: Other: The official language of the Special Olympics World Games Do you require a Wheelchair: Yes No is English. If you speak a language other than English and require interpretation, please specify below. Special Needs / Comments: Primary Language* Secondary Language Dietary Restrictions / Comments*: Vegetarian Other (Please specify below) Section 4 Dates of Attendance, Special Events and Award Presentations (Please indicate the dates you will be attending the 2011 World Summer Games.) Date Check Box Date Check Box June 23 rd (Thu) Guest Registration Day June 29 th (Wed) June 24 th (Fri) Guest Registration Day & Host Town Excursion June 30 th (Thu) June 25 th (Sat) Opening Ceremony July 1 st (Fri) June 26 th (Sun) July 2 nd (Sat) June 27 th (Mon) July 3 rd (Sun) June 28 th (Tue) July 4 th (Mon) Closing Ceremony Awards Presentation Special Olympics invites All-Star Fans to present awards to athletes at competition venues. The presentation of an award is an extremely proud and emotional moment for athletes and their families. Guest presenters play an important role in making the ceremonies memorable for athletes and spectators alike. Are you interested in presenting Awards? If yes, please indicate at which sports you are interested in presenting awards: Aquatics Athletics Badminton Basketball Beach Volleyball Bocce Bowling Cycling Equestrian Football (Soccer) Golf Gymnastics Handball Judo Kayaking Powerlifting Roller Skating Sailing Softball Table Tennis Tennis Volleyball MATP (Motor Activity Training Program) ASF Registration Form page 3 of 5
Section 5 Travel Information - (Please indicate, to the extent possible, your travel information.) Dates of arrival into and departure from Athens, Greece - (final leg of journey only) TRAVEL INFO Arrival Details Departure Details Date (Month / Day / Year) Time (Universal Time-e.g.14:00) Airline Flight Number Airport Information (Airport Code) If you will be traveling to Greece by other means of transportation (e.g. Boat, etc.), please indicate travel details: Arrival Details Departure Details Traveling Party: For airport operations, please indicate the number of people traveling with you: Baggage: Please enter the number of bags that you anticipate having with you: Section 6 Accommodation Information All-Star Fan Host Hotel: The host hotel for the All-Star Fans Program is the Hilton Athens. Located in the heart of the city, the Hilton Athens features outstanding views of Athens and the Acropolis. Please make your room request below, and staff will be in touch with you to confirm your reservation and payment procedures: Room 1: Room Type: Single (1 person, 1 bed) Special Needs: (select one) Double (2 people, 1 bed) Twin (2 people, 2 beds) Request suite Room 2: Room Type: Single (1 person, 1 bed) Special Needs: (select one) Double (2 people, 1 bed) Twin (2 people, 2 beds) Request suite If you are staying at a property other than the Hilton Athens, please indicate below: Hotel Name: ASF Registration Form page 4 of 5
Section 7 Accompanying Guests Please indicate the Guests accompanying you: Please note that you must also fill out the Accompanying Guest Registration attachment for each guest: Prefix / Title* Given / First Name* Middle Name Family Name / Surname* Suffix* (e.g. Mr., Mrs., Dr., etc) (e.g. Jr., Ph.D., etc) The Special Olympics World Summer Games ATHENS 2011 promise to be not only a spectacular event, but also an historic humanitarian experience. By taking part in these World Games, you will become an active member of our effort to build new global and cultural bridges of acceptance for all people with intellectual disabilities. It s simple just join us and say IME MESA! (I M IN!) This form must be received via e-mail, fax or regular mail by May 1, 2011: E mail: Please send to your Guest Coordinator or to asf@athens2011.org Special Olympics International Attn: Alex Glass 1133 19 th Street, NW Washington, D.C. USA, 20036 Phone: +1(202) 824 0257 Fax: +1(202) 824 0354 For more information about the 2011 World Games, visit www.athens2011.or g ASF Registration Form page 5 of 5