Va Form 0926g - National Veterans Golden Age Games Non-Athlete Registration Checklist
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1OMB Number: 2900-0759
Respondent Burden: 20 minutes
NATIONAL VETERANS GOLDEN AGE GAMES
NON-ATHLETE REGISTRATION CHECKLIST
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.
REGISTRATION DEADLINE IS FEBRUARY 29, 2012
NON-ATHLETE FORMS
ALTERNATE ACTIVITIES (VA Form 0926f)
NON-ATHLETE APPLICATION (VA Form 0926h)
NON-ATHLETE MEALS (VA Form 0926k)
VOLUNTEER/STAFF SUPPORT FORM (VA Form 0926j)
Make Checks/Money Orders for meals and/or alternate activities payable to:
St. Louis VA Medical Center
On the memo line, please note: 2012 NVGAG Account GPF 8199
Please include your check/money order with your registration packet.
REGISTRATION DEADLINE IS FEBRUARY 29, 2012
PLEASE RETURN COMPLETED PACKETS TO:
Administration Subcommittee
2012 National Veterans Golden Age Games
St. Louis VAMC
1 Jefferson Barracks Dr. 128/JB
St. Louis, MO 63125
FAX: 314-894-6114
0926g
VA FORM
OCT 2011
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