ATHLETE BIOGRAPHICAL INFORMATION. Please complete each section by either typing or printing legibly and BLOCK LETTERS in English

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Junior Championships MOD A-3 ATHLETE BIOGRAPHICAL INFORMATION To be received no later than Tuesday August 30th 2016 Please return by post, facsimile or mail using the details below Junior Please complete each section by either typing or printing legibly and BLOCK LETTERS in English INFO: www.comune.piombino.li.it/pagina1832_campionati-europei-di-nuoto-di-fondo-2016.html Country: Country Code: Select Gender (please tick X ) : Male Female First Name: (as shown on passport) Family Name : (as shown on passport) Preferred Name of Accreditation and Results - First Name, Family Name: (if different form above) Date of Birth: FEDERAZIONE ITALIANA NUOTO Sport / (please tick X ) Name Of personal coach : Number of LEN OWS Championships attended : Numer of LEN OWS Championships medals : Number of FINA OWS Championships attended : Numer of FINA OWS Championships medals : Number of OLIMPIC GAMES attended : Numer of OLIMPIC GAMES medals : Occupation (if other than athlete): Other rappresentation (School/University) : Greatest or major achievemente(s) : Biggest influence(s) on career, and why : Favorite Dish / Meal / food : First time in Italy? Favourite artist / singer / group in the world : 5 Km 7,5 Km 10 Km Relay Race Submitted by President or General Secretary of National Federation : Name of President / General Secretary Signature and Stamp DATE: An accreditation Pass will not be issued without this completed form. Local Organizing Committee international@federnuoto.it Società Nuoto Piombino -

Junior Junior Championships MOD T.1 Arrival and Departure Final Form Please send the form to the Local Organizing Committee until August 15th to : international@federnuoto.it cc : An accreditation Pass will not be issued without this completed form. 11 Please complete each section by either typing or printing legibly and BLOCK LETTERS in English Local Organizing Committee international@federnuoto.it Società Nuoto Piombino -

Junior Championships EUROPEAN Accreditation System OPEN WATER SWIMMING JUNIOR CHAMPIONSHIPS (UPDATED 5 DECEMBER 2015) Junior In addition to the LEN General Event Rules the following TEAM ACCREDITATION REGULATIONS Each National federation will receive shall from apply: the MICROPLUS the customized login data (username and password) to manage the accreditation requests for their J-OW own 1 athletes ORGANISATION and staff, specifically the following categories: J-OW 1.1 Competitor Head Coach/Team Leader Coach Team Staff Medical / Physiotherapist The Championships shall be held every year. J-OW 1.2 The Organising Federation and the venue where the Championships will be held shall be decided by the LEN Bureau and circulated by the LEN Office. J-OW 1.3 Two (2) Delegates, one (1) to be appointed by the Bureau and one (1) by the LEN Technical Open Water Swimming Committee (LEN TOWSC) will be responsible for and supervise the organisation and the correct conduct of the competitions according to LEN Rules and Regulations. They will take action on all matters arising on site at the competitions which require an immediate decision. J-OW 1.4 The Bureau Delegate nominated shall especially be responsible for safety and security of the swimmers. He is entitled to take any decision necessary. The LEN Delegate(s) shall consult the Organising Federation in all matters concerning safety and security regarding who shall provide safety cover. MEDIA Download the Media Accreditation Form from EVENTS & PARTICIPATION www.comune.piombino.li.it/pagina1832_campionati-europei-di-nuoto-di-fondo-2016.html J-OW 2 J-OW 2.1 Age Groups as by 1 st January of the year of the competition : Complete and return this application form in full, together with a passport-type picture no later than Tuesday August 30th 2016 a) 14-15 years Boys and Girls b) 16-17 years Boys and Girls c) 18-19 years Boys and Girls J-OW 2.2 Individual Events are : FEDERAZIONE ITALIANA NUOTO a) 14-15 years 5 km Boys and Girls b) 16-17 years 7.5 km Boys and Girls c) 18-19 years 10 km Boys and Girls J-OW 2.3 Competition Programme OTHERS GROUP CODES All the remaining Accreditation Groups a) Day 1: 14-15 years 5 km PM 16-17 years 7.5 km b) Day 2: 18-19 years 10 km c) Day 3: 14-16 years Relay Event PM Open Relay Event J-OW 2.4 Team Relay Events GUEST OFFICIAL STAFF VIP - Each swimmer shall complete a lap of 1.25 km. - Swimmers may swim in any sequence, but may only swim once. - All teams will start together. - Starting order on the platform will be by random draw. They will be managed by the Local Organizing Committee in the two days preceding the championship There shall be a change-over zone of a minimum of 5 m in width. Change-overs shall be made with the following swimmer in the water in their starting position holding the platform. Change-overs shall be made with an obvious visible touch between the swimmers making the change. - Swimmers may enter the change-over zone when the previous swimmer is approaching the zone and leave the water immediately at the conclusion of their lap. - Swimmers shall all wear team caps of the same colour and style. J-OW 2.5 Entries - Team event consists of 4 swimmers, 2 males & 2 females. - One Team per federation per event. Local Organizing Committee - Teams events in 14-15-16; & U/19. Swimmers may only swim one team event. international@federnuoto.it Società Nuoto Piombino -

Junior Championships J-OW 3 J-OW 3.1 FORMAT Ranking Junior J-OW 3.2 There shall be separate rankings for men and women. Accreditation System Championships Trophy The Trophy shall be awarded to the Federation obtaining the highest number of points in all events according to the following system: - 1st: 20 points; - 2nd: 17 points; - 3rd: 15 points; - 4th: 14 points; TEAM ACCREDITATION and so on until 16th place which receives 2 points. Each National All other swimmers federation finishing will the receive race within from the time the limit MICROPLUS shall receive one (1) the point. customized login data (username and password) to manage the accreditation requests for their Disqualification own athletes and staff, specifically the following categories: J-OW 3.3 J-OW 3.3.1 If in the opinion of the Chief Referee or Referees, any swimmer or swimmer s approved representative or escort safety craft takes advantage by committing any violation of the rules or by making intentional contact with any swimmer the following proceeding shall apply: Competitor Head Coach/Team Leader Coach Team Staff Medical / Physiotherapist 1st Infringement: A yellow flag and a card bearing the swimmer's number will be raised to indicate and to inform the swimmer that he is in violation of the Rules. 2nd Infringement: A red flag and a card bearing the swimmer's number will be raised to indicate and to inform the swimmer that he is for the second time in violation of the Rules. The swimmer will be disqualified. He must leave the water immediately, be placed in an escort craft and take no further part in the competition. J-OW 3.3.2 If in the opinion of the Referee, the action of a swimmer or an escort craft is deemed to be "unsporting", the Referee shall disqualify the swimmer concerned immediately according to FINA Rules. MEDIA J-OW 3.3.3 Swimmers finishing a race with intent in an equal time will be disqualified. Download the Media Accreditation Form from www.comune.piombino.li.it/pagina1832_campionati-europei-di-nuoto-di-fondo-2016.html J-OW 4 ENTRIES Complete and return this application form in full, together with a passport-type picture no later than Tuesday August 30th 2016 J-OW 4.1 Preliminary Entries shall be submitted to the Organising Federation, with copy to the LEN Office, no later than the date circulated by the LEN Office. A Federation having made a Preliminary Entry may withdraw up to the date circulated by the LEN Office. FEDERAZIONE ITALIANA NUOTO J-OW 4.2 Named Entries shall be submitted to the Organising Federation no later than the given date, with copy to the LEN Office. J-OW 4.3 J-OW 4.4 J-OW 5 J-OW 5.1 Federations may withdraw a named entry up to 10 days prior to competition. A fee of sixty-five (65) EURO shall be paid to LEN for each entered non-starting competitor. ACCREDITATION OTHERS GROUP CODES All the remaining Accreditation Groups Federations entering the Championships will receive accreditation for: a) the President of the Federation; b) the Head of the Delegation; c) one medical person; a second medical person if six or more competitors have been entered; GUEST OFFICIAL STAFF VIP d) team staff members: the same number as entered swimmers. J-OW 5.2 Team staff members include everybody servicing the team: Team Leaders, Chaperones, Coaches, Physiotherapists, Interpreters, etc. (not officials such as judges, referees, etc.). J-OW 6 OFFICIALS They will be managed by the Local Organizing Committee in the two days preceding the championship J-OW 6.1 J-OW 6.2 In addition to the Technical Delegate, the LEN TOWC will appoint one (1) referee. Federations may nominate one or two officials qualified from one of the current FINA lists. Nominations shall be submitted to the LEN Office no later than the date circulated by the LEN Office. J-OW 6.3 J-OW 6.4 charge. Officials approved by the LEN TOWSC are on the costs of the nominating Federation. Local Organizing Committee The Organising Federation shall supply all the other officials. The LEN Technical Delegate international@federnuoto.it and the Referee appointed for an event will nominate the officials in Società Nuoto Piombino -