Fillable Printable VA Form 0926I
Fillable Printable VA Form 0926I
VA Form 0926I
ATHLETE MEALS
Adobe LiveCycle Designer
VA FORM
NOV 2010
0926i
ATHLETE NUMBER-OFFICE USE ONLY
NAME (Please print)
VEGETARIAN
DIABETIC
PLEASE LIST ANY DIET RESTRICTIONS
OTHER (Please specify)
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.
OMB Number:
Respondent Burden: 20 minutes
All Athletes must complete this form. Meals are furnished at no charge for all Athletes.
NO RESTRICTIONS
GLUTEN FREE
PLEASE CHOOSE PREFERENCES
TASTE OF HAWAII
LUAU AT THE HALE KOA GARDEN (Choose one date only)
WILL BE ATTENDING FRIDAY MAY 27?
YESNO
SATURDAY, MAY 28 OR
SUNDAY, MAY 29
