medical insurance coverage / body applications / excess travel / assigned team equipment / medical insurance / applicable insurance policies / /
MedicalCondition
injury / /
Organization
Local Organizing Committee / NWBA National Team / National Team / National Wheelchair Basketball Association / HP Committee / USA National Team / American Arbitration Association / /
Person
Randy Schubert / Daniel R. Humphreys / /
Position
Director of Medical Services / SECTION MUST BE COMPLETED IF THE ATHLETE / Director of High Performance / Program Athlete / individual athlete / NWBA Elite Athlete / Executive Director / Athlete Financial Support Program / Parent/Guardian Printed Name Date Parent/Guardian Signature HIGH PERFORMANCE ATHLETE / HP Specialist / Games years athlete / Athlete / eligible Athlete / Head Coach and the Director of High Performance / Direct Athlete / High Performance Athlete / Head Coach / Director / NWBA Date / player / Competition Period HIGH PERFORMANCE ATHLETE / USOC Direct Athlete / /
SportsEvent
World Championship / Paralympic / /
SportsGame
basketball / /
SportsLeague
National Wheelchair Basketball Association / the National Wheelchair Basketball Association / USA Basketball / /