2022 Move United Sanctioned Competition Application

Event Name*

Member Organization Name*

Member Organization Name (not listed above)*

Event Location*

City State / Province / Region

Event Start Date*

Event End Date*

Registration Open Date

Registration Close Date

Do you plan to hold your event:*

In person
Virtual
Combination (in person and online)

Organization Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Event Director Name*

First Last

Event Director Email*

Event Director Phone Number*

Is the Event Director also the main point of contact?*

Yes
No

Point of Contact Name*

First Last

Point of Contact Email*

Point of Contact Phone*

Secondary Event Contact Name (if applicable)

First Last

Secondary Event Contact Email (if applicable)

Secondary Event Contact Phone (if applicable)

Event Website*

Facebook Handle

Twitter Handle

Instagram Handle

Estimated Event Budget*

Anticipated Event Registration Fee*

Main sponsor(s) for this event.

Upload sponsor packet or provide a link below.

Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.

If unable to upload, provide a link to sponsor packet.

Upload Event Logo*

Accepted file types: jpg, png, pdf, Max. file size: 64 MB.

Contested Sports

Sanctioned Sports Being Contested*

Archery
Paratriathlon
Para Powerlifting
Shooting
Swimming
Table Tennis
Track & Field
Other (please note below)

What other Paralympic-style sports are are being contested during this event? (Check all that apply or list below)*

Other Competition Sport 1*

Other Competition Sport 2

Other Competition Sport 3

Classification requested from NGB?*

Archery
Swimming
Track & Field
Other
Classification not requested

Archery Facility Name*

Archery Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Archery Level Requesting*

If sanctioned by another governing body, please list:

Head Archery Judge*

First Last

Head Archery Judge's Email

Head Archery Judge's Phone

Paratriathlon Facility Name*

Paratriathlon Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Paratriathlon Level Requesting*

If sanctioned by another governing body, please list:

Head Paratriathlon Official*

First Last

Head Paratriathlon Official's Email

Head Paratriathlon Official's Phone

Para Powerlifting Facility Name*

Para Powerlifting Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Para Powerlifting Level Requesting*

If sanctioned by another governing body, please list:

Head Para Powerlifting Referee*

First Last

Head Para Powerlifting Referee's Email

Head Para Powerlifting Referee's Phone

Shooting Facility Name*

Shooting Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Shooting Level Requesting*

If sanctioned by another governing body, please list:

Head Shooting Judge*

First Last

Head Shooting Judge's Email

Head Shooting Judge's Phone

Swimming Facility Name*

Swimming Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Swimming Level Requesting*

If sanctioned by another governing body, please list:

Head Swim Official*

First Last

Head Swim Official's Email

Head Swim Official's Phone

Table Tennis Facility Name*

Table Tennis Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Table Tennis Level Requesting*

If sanctioned by another governing body, please list:

Head Table Tennis Official*

First Last

Head Table Tennis Official's Email

Head Table Tennis Official's Phone

Track and Field Facility Name*

Track and Field Facility Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Track and Field Level Requesting*

If sanctioned by another governing body, please list:

Head Track and Field Official*

First Last

Head Track and Field Official's Email

Head Track and Field Official's Phone

Clinics

What Paralympic-style sports are offered as a CLINIC during this event? (Check all that apply or list below)

Other Clinic Sport 1

I have read and agree to the Move United sanctioning requirements.*

Agree