EmailMe Form - IWAS Wheelchair Fencing World Cup

IWAS Sao Paulo World Cup Details:

May 20th: Team Arrivals for medical classifications
May 21st: Team Arrivals, technical meeting, equipment check, official medical classifications
May 22nd: WE A, WE B; MS A, MF B
May 23rd: WS A, WS B; MF A, ME B
May 24th: WF A, WF B; ME A, MS B
May 25th: Women's foil team, Men's epee team
May 26th: Departures

Personal Information

Name *

First Last

Gender *

Male

Female

Date of Birth *

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Cell (Mobile) Phone *

### - ### - ####

Email *

Please list any dietary restrictions or food allergies. If none, please write "N/A"

Emergency Contact Information

Emergency Contact Name *

First Last

Phone *

### - ### - ####

Relationship *

Event Details

Event Role *

Discipline(s) *

Epee

Foil

Sabre

Not applicable

Please check all weapon(s) you will fence in the event.

Category *

Passport Details

**Note: A visa IS needed for entry to Brazil for U.S. citizens**

Name *

First Middle Last

Please type N/A in "Middle" if you do not have a middle name.

Nationality *

Passport Number - Required field *

Passport Date of Issue *

DD / MM / YYYY

Please complete dates as listed in passport.
NOTE: European convention: (DD/MM/YYYY)

Passport Date of Expiration *

DD / MM / YYYY

Please complete dates as listed in passport.
NOTE: European convention: (DD/MM/YYYY)

Passport Upload Required *

Headshot Upload

Travel Information

Your flight must be booked before completing this form.

**International Guarulhos Airport- GRU**

Number of wheelchairs traveling with you: *

Type of wheelchair for daily use *

N/A

Manual

Motorized

Method of Travel *

Fly

Drive

Train

Arrival Date to Sao Paulo *

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Arrival Date to Sao Paulo *

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Arrival Time to Sao Paulo *

HH : MM AM/PM

Please complete in European convention: (DD/MM/YYYY).

Flight # into Sao Paulo *

Departure Time from Sao Paulo *

HH : MM AM/PM

Please complete in European convention: (DD/MM/YYYY).

Departure Date from Sao Paulo

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Flight # out of Sao Paulo *

Check-In Date *

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Check-Out Date *

DD / MM / YYYY

Please complete in European convention: (DD/MM/YYYY).

Credit Card and Payment Details

Amount charged will include:
-Hotel accommodation and all included event fees (based on selection above and the check-in/check-out dates)
-Registration fee of 200 euros

Please pay attention and plan ahead before finalizing your payment form. If you arrive before any of your roomates then you will be charged the full price of the room for the nights you have the room to yourself. If you have four people in a room, and only two of you have the room to yourselves for a day or two, then you two will be responsible for the days you have to yourself. The per person cost only works when all the beds are filled for each night you are requesting.

Because of all of the variables, the total will have to be tallied after the registration deadline.

*

Sixfold Room Rate - per person, per night, 80 Euros (Paralympic Center)

Quadruple Room Rate - per person, per night, 90 Euros (Paralympic Center)

Double Room Rate – per person, per night, 110 Euros (Paralympic Center and Hotel)

Single Room Rate – per person, per night, 160 Euros (Hotel)

How many nights will you need?

Roommate Preference(s) *

Please list the name of your roommate preference.
- If purchasing a Single Room, please list "Single".
- If no roommate preference, please list "N/A".

Name on credit card

CC #

CC EXP DATE

CC Sec Code

Additional Information

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