Signature Date United States Association of Blind Athletes NGB Name Goalball Sport PARENT/GUARDIAN CERTIFICATION / National Team / USOC’s Sports Medicine Division / World Anti-Doping Agency / Executive Director MARK A. LUCAS USOC Athletes’ Advisory Council / United States Anti-Doping Agency / United States Olympic Committee / United States Association of Blind Athletes / National Center for Safety Initiatives / Paralympic Movement / International Blind Sports Federation / /
Person
MARK A. LUCAS / A. LUCAS USOC / JEN ARMBRUSTER / /
Position
above-mentioned Additional Official / CEO / President / photographer / athlete / NGB/HPMO Executive Director/CEO/President / physician / coach / Additional Official / Nominated Additional Official / Representative / specific Additional Official / ambassador / /
United States Olympic Committee