0926f Alternate Activities

ATHLETE NUMBER-OFFICE USE ONLY

OMB Number:
Respondent Burden: 20 minutes

ALTERNATE ACTIVITIES
RESPONDENT BURDEN: The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the
clearance requirements of Section 3507 of the Paperwork Reduction Act of 1995. We may not conduct or sponsor, and you are not required to respond to,
a collection of information unless it displays a valid OMB number. We anticipate that the time expended by all individuals who must complete this
application will average 20 minutes. This includes the time it will take to read instructions, gather the necessary facts and fill out the forms.

*PLEASE USE THIS FORM FOR BOTH ATHLETES AND NON-COMPETITORS
NAME (Please print)

I AM A (Check only one)
COMPETITOR

COACH

STAFF

FAMILY MEMBER

GUEST

Please check the appropriate box related to the tour which you would like to attend. Please ensure these activities do not conflict with your event schedule.
Tours are listed by departure times from the Birmingham Jefferson Convention Complex. Transportation will be provided to the alternate activity site.
Upon arrival at the venue (Vulcan Museum and Civil Rights Institute), you will be required to pay the cost listed below. Each tour will last about an hour.
Please see the previous page for tour descriptions.
**COSTS LISTED ARE FOR ADMISSION ONLY. INDIVIDUAL PURCHASES, INCLUDING FOOD, ARE ON YOUR OWN.**
**PAYMENT FOR ALTERNATE ACTIVIITES IS NON-REFUNDABLE.**
WEDNESDAY, JUNE 3

THURSDAY, JUNE 4

FRIDAY, JUNE 5

10:00 AM

VULCAN MUSEUM ($5)

10:00 AM

CIVIL RIGHTS INSTITUTE ($5)

10:00 AM

MUSEUM OF ART (NO COST)

11:00 AM

VULCAN MUSEUM ($5)

11:00 AM

CIVIL RIGHTS INSTITUTE ($5)

11:00 AM

MUSEUM OF ART (NO COST)

NOON

VULCAN MUSEUM ($5)

NOON

CIVIL RIGHTS INSTITUTE ($5)

NOON

MUSEUM OF ART (NO COST)

1:00 PM

CIVIL RIGHTS INSTITUTE ($5)

1:00 PM

VULCAN MUSEUM ($5)

1:00 PM

MUSEUM OF ART (NO COST)

2:00 PM

CIVIL RIGHTS INSTITUTE ($5)

2:00 PM

VULCAN MUSEUM ($5)

2:00 PM

MUSEUM OF ART (NO COST)

3:00 PM

CIVIL RIGHTS INSTITUTE ($5)

3:00 PM

VULCAN MUSEUM ($5)

3:00 PM

MUSEUM OF ART (NO COST)

4:00 PM

CIVIL RIGHTS INSTITUTE ($5)

4:00 PM

VULCAN MUSEUM ($5)

4:00 PM

MUSEUM OF ART (NO COST)

ARE YOU ABLE TO BOARD A BUS/VAN WITHOUT USING A WHEELCHAIR/SCOOTER?

YES

NO

PAYMENT FOR NON-COMPETITOR MEALS WILL BE ACCEPTED UPON YOUR ARRIVAL AT THE GAMES AT THE
FINANCE/CHECK-IN TABLE
ONLY CASH/MONEY ORDER AND CREDIT/DEBIT CARDS WILL BE ACCEPTED AS PAYMENT
REGISTRATION DEADLINE IS

VA FORM
JUN 2010

0926f

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