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HOME
EVENTS
NEWS
TEAMS
STANDINGS
3X3
ABOUT
HISTORY
REGISTER
PHOTOS
VIDEOS
GOA ATHLETE REGISTRATION FORM
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EVENT NAME
*
2022 SOUTH AMERICAN YOUTH GAMES (U18) – ARGENTINA
2022 CARIBBEAN GAMES (U23) – GUADELOUPE
2022 SOUTH AMERICAN GAMES – PARAGUAY
2023 CAC GAMES – EL SALVADOR
2023 PANAM GAMES – CHILE
2023 INTER-GUIANA GAMES – TBD
SECTION A – PERSONAL INFORMATION
Name (as in passport, include middle names)
*
First
Middle
Last
Date of Birth
*
Gender
*
Male
Female
Marital Status
*
Single
Married
Divorce
Widower
Nationality
*
National ID Number
Name of Father
*
First
Last
Nationality of Father
*
Name of Mother
*
First
Last
Nationality of Mother
*
Other Languages spoken:
If none, enter NONE
Photo (Head shot photo on white background)
*
Click or drag a file to this area to upload.
SECTION B – CONTACT INFORMATION
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Email
*
Mobile Phone
*
Home Phone
Work Phone
SECTION C – GUYANA PASSPORT INFORMATION
Passport Number
*
Date of Issue
*
Date of Expiry
*
Place of Issue
*
GUYANA Passport (Upload a copy of your Guyana Passport Bio page)
*
Click or drag a file to this area to upload.
SECTION D – OTHER PASSPORT INFORMATION
Do you have a Non-Guyanese Passport
*
Yes
No
Nationality of Passport
*
Passport Number
*
Date of Issue
*
Date of Expiry
*
Place of Issue
*
Other Passport (Upload a copy of your other passport Bio page)
*
Click or drag files to this area to upload.
You can upload up to 4 files.
SECTION E – VISA INFORMATION
Are you currently in possession of a valid USA visa?
*
Yes
No
USA Visa Number
*
Date of Issue
*
Date of Expiry
*
Place of Issue
*
Upload a copy of your USA visa
*
Click or drag a file to this area to upload.
Have you ever been refused a USA visa?
*
Yes
No
If yes, give details
*
Have you ever been refused a visa from any other country?
Yes
No
If yes, what country?
*
If yes, give details
*
SECTION F – UNIFORM MEASUREMENTS
Jersey Size
*
S
M
L
XL
2XL
3XL
Shorts Size
*
S
M
L
XL
2XL
3XL
Polo Shirt Size
*
S
M
L
XL
2XL
3XL
T-Shirt Size
*
S
M
L
XL
2XL
3XL
Track Suit Size
*
S
M
L
XL
2XL
3XL
Dress Shirt Collar Size (in inches)
*
Waist size (in inches): & Hip Measurements (Females)
*
Chest size or Bust for Females: (in inches)
*
Pants Length (waist to ankle, in inches)
*
Pants Length (in seam, in inches)
*
Shoe Size (US size – e.g. M 8 or W 9.5)
*
(US size – e.g. M 8 (Men 8) = W 10 (Women 9.5)
SECTION G – MEDICAL INFORMATION
Height (in centimeters)
*
Weight (in kilograms)
*
Blood Type
*
A
B
AB
O
Chronic Diseases (e.g. Asthma, Diabetes)
*
If none, enter NONE
Allergies
*
If none, enter NONE
Medications being taken
*
If none, enter NONE
Special Diet required (e.g. vegetarian)
*
If none, enter NONE
Dietary Supplements/Medications taken for sports performance
*
If none, enter NONE
Person to contact in case of emergency
*
Relationship
*
Address
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
— Select country —
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Mobile Phone
*
Home Phone
Work Phone
SECTION H – BIOGRAPHICAL DATA
High School
*
University / College
Academic Achievement
Club Name
Coach Name
Year started playing
*
Junior National Team Debut Year
Junior National Team Debut Age
Senior National Team Debut Year
Senior National Team Debut Age
Past Major Multi-Sport Games experience (Name of Games/Year/Location)
CAC , Commonwealth, PanAm, Olympics – e.g. CAC Games – 2015 – Mexico
Confirmation
*
I confirm that the Guyana Olympic Association has my approval to store the information provided on this form on their computer database.
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