LOCATION FORM

Document Sample
LOCATION FORM
Date :







ATHLETE LOCATION FORM

FINA UNANNOUNCED OUT-OF-COMPETITION TESTING PROGRAMME







Please fill in the form and return to:

FINA OFFICE

Avenue de l’Avant-Poste, 4 Tel: +41-21-310 47 10

1005 Lausanne, Switzerland Fax: +41-21-310 18 97

www.fina.org email: dcwhereabouts@fina.org





Discipline:  SW  SYN  DV  OWS  WP





ATHLETE INFORMATION





Nationality: Sex: Club / Team:



First Name: Last Name:



(H) HOME ADDRESS



Street:



Postal code: Town:



Country:



Phone : (area code/number) Fax : (area code/number)



Alternate Contact: First and Last Name:



Phone: (area code/number)



PERMANENT TRAINING SCHEDULE



(X). Training Place 1

Pool’s Name & Address:







Training Time (From-To)

DAY Monday Tuesday Wednesday Thursday Friday Saturday Sunday

AM



PM

Periods when you train according to the above mentioned, should be filled in with an X on the Training Schedule



(Y). Training Place 2

Pool’s Name & Address:







Training Time (From-To)

DAY Monday Tuesday Wednesday Thursday Friday Saturday Sunday

AM



PM

Periods when you train according to the above mentioned, should be filled in with an Y on the Training Schedule

Page 1

TRAINING SCHEDULE Last name: First name: FINA OFFICE

Avenue de l’Avant-Poste, 4 1005 Lausanne, Switzerland

Fax: +41-21-310 18 97 / email: dcwhereabouts@fina.org



SWIMMER’S ITINERARY/INFORMATION (A,B,C,D: Temporary training address, E: Competition X,Y: Permanent training address, H: Home adress)



NB: As per WADA International Standards, clause 11.3, athlete in a Registered Testing Pool is also required to specify in his/her Whereabouts Filing, for each day in the forthcoming quarter, one

specific 60-minute time slot where he/she will be available at a specified location for Testing. Please use the 24-h time notation system (e.g.: 19:00)



Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31



Location

January

2009









from

60-min -

slot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

to



Location

February

2009









60-min

slot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -



Location

March 2009









60-min

slot - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -





A. B. C. D.

Temporary Living Address Temporary Living Address Temporary Living Address Temporary Living Address









Temporary Training Facility Temporary Training Facility Temporary Training Facility Temporary Training Facility









Temporary Training Times Temporary Training Times Temporary Training Times Temporary Training Times



AM - PM - AM - PM - AM - PM - AM - PM -



COMPETITION SCHEDULE



E. Competition City Country Date (From – to)


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