The 2018 Virgin Islands Track & Field Federation TECHNICAL OFFICIAL Registration Form

The Virgin Islands Track & Field Federation
TECHNICAL OFFICIAL Registration Form 2018)

The Virgin Islands Track and Field Federation is a non-profit organization and depends totally on volunteers for its programs and projects. To be a TECHNICAL OFFICIAL and remain in good standing with the VITFF we are asking you to complete this annual registration form; to provide a passport quality photo and to donate $25.00 for the annual registration fee (Fee waived for 2018)(see mailing address and email address below). You will then receive an official VITFF ID card and be eligible for certification and other IAAF and VITFF privileges.

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* 1. Your Status for 2018

New Registration:

I will take the TEOCS Course on May 13-15, 2016

Registration Renewal:

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* 2. Please provide accuarate personal information:

Last Name:

Middle Name:

First Name:

Passport Number:

Passport Issue Date:

Passport Expiration Date:

Where was your Passport issued(you are required to provide a scanned color copy of your passport to the VITFF with this registration):

Mailing Address/City:

State:

Country:

Zip Code:

Home Address/City:

State:

Country:

Zip Code:

Home Telephone Number:

Work Telephone Number:

Cell Telephone Number:

Fax Number:

Email Address:

Website Address:

IAAF Certification Number:

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* 3. Sex:

Male:

Female:

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* 4. What is your age?

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* 5. What is your date of birth:
[DD/MM/YYYY] [ie. 01/10/1988]

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* 6. Are you a United States Citzen:

Yes:

No:

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* 7. If you are NOT a United States Citizen, what is your country of citizenship:

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* 8. If you are not a United States Citizen and live in the United States, what is your official Status (you are required to provide a copy of your official documentation to the VITFF along with this registration?

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* 9. You are affiliated with:

A School

A Club

An Organization

A College/University

Military

Other

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* 10. Indicate from the above with which you are affiliated?

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* 11. Please check the appropriate sport/s code that interest you and the one you wish to volunteer:

Track

Field

Road Running/Long Distance Running

Cross-Country Running

Ultra-Marathon Running

Mountain/Trail Running

Race Walking

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* 12. What is your occupation and interest other than track and field?

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* 13. Would you be interested in receiving formal training and
certification as a techical official, coach, administrator
for the Virgin Islands Track and Field Federation?

YES

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* 14. Are you willing and able to travel with a Virgin Islands National
Track and Field Team regionally and internationally?

YES

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* 15. What event/s do you have the most interest?

Event 1.

Event 2.

Event 3.

Event 4.

Event 5.

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* 16. Do you have medical insurance:

YES:

NO:

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* 17. What is the name of your insurance company?
What is the coverage?

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* 18. Have you ever tested positive for WADA Listing of drugs or recreational/illegal drugs?

YES:

NO:

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* 19. If you answered yes to question #18, please provide details here:

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* 20. Have you ever been convicted of a crime?

YES:

NO:

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* 21. If you answered yes to question #20 please provide details here:

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* 22. To be eligible for a Virgin Islands Track & Field National Team, athletes, coaches, officials, volunteers are required to complete this form and meet applicable criteria.

The annual registration fee is $25.00

Please send your payment to:
The Virgin Islands Track and Field Federation
P.O. Box 223094
Christiansted, St. Croix,
Virgin Islands 00822

To register with the VITFF logon to: http://vitrackandfield.org

email address: isv@mf.iaaf.org

By registering with the VITFF you are supporting the development of track and field in the Virgin Islands. The Virgin Islands Track and Field Federation is a non-profit organization affiliated with The International Federation of Athletic Federations, The Virgin Islands Olympic Committee, the North America, Central America and Caribbean Athletics Confederation and the Central America and Caribbean Athletics Confederation...

Please share in a few words, your goals and objectives in track and field...

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* 23. As a volunteer with the Virgin Islands Track and Field Federation you will be assigned to a variety of tasks with varying levels of responsibility. After completing this registeration form, the process of selection and assignment will continue. The range of tasks may include: officiating and supporting a track and field meet, maintaining an aid station at a road race, serving as a course marshall at a cross-country race, chaperoning athletes on a national team while traveling in the region or internationally, etc.

Your loyality, attitude and overall approach to how you assume assigned tasks are key to the success of the VITFF.

You will be asked to adhere to general and specific policies and procedures appropriate to the assigned tasks and at the discreation of the VITFF.

Please sign in the box bellow...

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* 24. Now that you have registered with the Virgin Islands Track and Field Federation, once it has been determined that you are eligible and qualified for a V.I. National Track and Field Team, you will be issued a V.I. National Team Uniform provided by Mizuno the sponsor for V.I. Track and Field. Please proved the requested information listed below.

The Mizuno uniforms are sized according to Japanese sizes, if you received a uniform for 2010, please provide sizes according to that uniform, otherwise, please be careful to provide USA sizes and make sure that you allow for accurate fitness:

1. Training Shoe Size

2. Competition shoe size

3. Competition top size (chest size)

4. Competition shorts size (waist size)

5. Tee-Shirt size (chest size)

4. Warm-up Jacket (chest size)

5. Warm-up pants size (waist size, leg length)

6. Tight size

7. Your height

8. Your weight

This is an official instrument of:
The Virgin Islands Track and Field Federation (ISV)
P.O. Box 223094 Christiansted, St. Croix,
Virgin Islands 00822
340-643-2557
isv@mf.iaaf.org
http://vitrackandfield.org

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* 1. Your Status for 2018

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* 2. Please provide accuarate personal information:

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* 3. Sex:

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* 4. What is your age?

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* 5. What is your date of birth: [DD/MM/YYYY] [ie. 01/10/1988]

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* 6. Are you a United States Citzen:

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* 7. If you are NOT a United States Citizen, what is your country of citizenship:

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* 8. If you are not a United States Citizen and live in the United States, what is your official Status (you are required to provide a copy of your official documentation to the VITFF along with this registration?

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* 9. You are affiliated with:

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* 10. Indicate from the above with which you are affiliated?

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* 11. Please check the appropriate sport/s code that interest you and the one you wish to volunteer:

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* 12. What is your occupation and interest other than track and field?

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* 13. Would you be interested in receiving formal training andcertification as a techical official, coach, administratorfor the Virgin Islands Track and Field Federation?

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* 14. Are you willing and able to travel with a Virgin Islands NationalTrack and Field Team regionally and internationally?

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* 15. What event/s do you have the most interest?

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* 16. Do you have medical insurance:

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* 17. What is the name of your insurance company?What is the coverage?

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* 18. Have you ever tested positive for WADA Listing of drugs or recreational/illegal drugs?

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* 19. If you answered yes to question #18, please provide details here:

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* 20. Have you ever been convicted of a crime?

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* 21. If you answered yes to question #20 please provide details here:

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* 25. VITFF ONLY... REGISTRION FEE...waived for 2018REGISTRATION #

* 5. What is your date of birth:
[DD/MM/YYYY] [ie. 01/10/1988]

* 13. Would you be interested in receiving formal training and
certification as a techical official, coach, administrator
for the Virgin Islands Track and Field Federation?

* 14. Are you willing and able to travel with a Virgin Islands National
Track and Field Team regionally and internationally?

* 17. What is the name of your insurance company?
What is the coverage?

* 25.
VITFF ONLY...
REGISTRION FEE...waived for 2018
REGISTRATION #