PARALYMPIC SWIMMING ASSOCIATION OF TAMILNADU
PRESS RELEASE on the forthcoming
4th Tamilnadu
State Level Paralympic Swimming Championship -2016
On the successful
conduct of 12th National Paralympic Swimming and Water polo
Championship held in 2012 (Ripples Chennai 2012) in Chennai, 1st
State Level Paralympic Swimming Championship in July,’13, 2nd State Level Paralympic Swimming Championship
in July,’14, 3rd Level
Paralympic Swimming Championship in July,’15, the Paralympic Swimming Association
of Tamil Nadu (PSATN), in continuation of their efforts for strengthening the
state-level Paralympic swimming team and
to prepare a full-fledged team to take part in the National Paralympic
Swimming Championship 2016, the PSATN is planning to conduct an Intra State
competition wherein participants from various parts of TN can attend a
selection process.
The 4th State Level
Championship is scheduled to be hosted by Theni Dist. Paralympic Swimming
Association under the auspices of PSATN
from 23rd Jul to 24th July,’16 at the SDAT Swimming pool, Theni.
Swimmers will be
categorized as follows:
· S1 to S10 – Physical Impairment (eg: those affected by polio,
amputees, cerebral palsy and muscular dystrophy, etc)
· S11- Visual Impairment (Fully and partially affected)
· DS -Down Syndrome
For more details on
classification, please go through the following link:
The swimmers would be
brought under the groups of sub juniors, juniors and seniors for the male and
female categories separately. Winners in this State Level Championship will be
selected for 16th National Paralympic Swimming Championship.
PSATN is looking
forward to enthusiastic participants from all over Tamil Nadu to send their applications along with other required documents to the Association in the prescribed format on or before 10th
July,’16 to facilitate the organisers to plan this state level event.
The participation
would be free of cost and breakfast,
lunch and evening tea on both the days and dinner on 1st day of the
event will be arranged for the participants by the organisers. Accommodation
will be provided for outstation candidates on 23rd Jul.’16. First day, our team of classifiers will do
classification. Classification done by our classifiers will be final. Maximum
number of individual events a swimmer can participate are 4.
The participants will
have to make their own arrangements to arrive at the venue on the scheduled
date & time. Swimmers, those who participated in 3rd State Level Paralympic Swimming Championship
should bring the ID card issued by PSATN while coming for the Championship.
Details of the
application forms and other documents for submission are available on their
blog psatn.blogspot.in. The completed application forms along with supporting
documents should reach the below address on or before 10th July,’16.
The General Secretary,
Paralympic Swimming
Association of Tamilnadu,
C/O Sri Sugum
Physiotherapy Institute,
No 76 Conclave, 2nd
Floor
Mahalingapuram Main
Road,
Nungambakkam, Chennai
- 600034
P Madhavi Latha,
General Secretary,
Paralympic Swimming Association of
Tamilnadu
Mb. 9841609601
Mail Id: yeswetoocan@gmail.com
Application format:
PARALYMPIC SWIMMING ASSOCIATION OF TAMILNADU
(4th State Level Paralympic Swimming
Championship)
Affix here swimmer’s full
photograph
showing his disability
clearly (naked). Get it
attested by Doctor
Give a passport (face) photo
along with entry for I/Card, if required
|
23rd & 24th
July, 2016
At SDAT Swimming Pool, Theni
SWIMMER’S ENTRY PROFORMA
(To be
filled for each swimmer separately)
(Get this proforma electro-stated
for want of more copies)
Please complete the following details and read and sign the terms and
conditions on page 2
Please also find enclosed herewith the certificate of medical fitness
to be completed by a doctor and submitted along with your completed application
form.
1. Name of Swimmer in CAPITAL LETTERS
2. Father’s name: 3. Sex:
4. Date of Birth:
. . . . . . / . . . . . . /…... 5.
Age Group: Senior / Junior / Sub-Junior
(Encircle the correct age group, see
below)
6. In which Class of Disability you
participated in last National Level Championship? If not participated at National
level, then mention about previous state meet details. S - (Class as per IPC classification)
7. Event/s
(Strokes and Distance): Free: 50m
/ 100m; Back: 50m / 100m; Breast: 50m / 100m; Butterfly:
50m / 100m;
200m I.M.
(Each swimmer can participate in any 4 individual events
only)
8. Full Postal Address of the Swimmer:
9. Name of the Coach : . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Age
groups (Sub Junior/Junior Swimmers
not sending copy of Original Date of Birth Certificate issued by Corporation shall
be considered only for Senior category):-
1.
Seniors (Men & Women) - 19 years and
above – born in or before 1997.
2.
Juniors
(Men & Women) - 15 to 18+ years – born in
and between 1998 – 2001
3.
Sub-Juniors
(Men & Women) - Below 15 years – born in 2002 or
after.
11. Last date for submission of application is 10th July.’16.
Applications should be sent to: Paralympic Swimming Association of Tamilnadu,
C/O Sri Sugam Physiotherapy Institute, No.76 Conclave, 2nd
Floor, Mahalingapuram Main Road,
Nungambakkam, Chennai – 600 034
12. Junior/Sub-Junior
swimmers can participate either in their own age groups OR in Seniors/Open Age Group (Choose any one).
Event No
|
Events
|
Class
|
1
|
50m Free Style
|
S-1 to S-11, Down Syndrome
|
2
|
100m Free Style
|
S-1 to S-11, Down Syndrome
|
3
|
50m Back Stroke
|
S-1 to S-11, Down Syndrome
|
4
|
100m Back Stroke
|
S-1 to S-11
|
5
|
50m Breast Stroke
|
SB-1 to SB-5
|
6
|
100m Breast Stroke
|
SB-6 to SB-9, SB-11
|
7
|
50m Butterfly Stroke
|
S-1 to S-5
|
8
|
100m Butterfly Stroke
|
S-6 to S-11
|
9
|
200m Individual Medley
|
SM-6 to SM-11
|
Note-1: Dwarf (Acondroplasia) category swimmers having height
not more than: S-6 [130cm (W) and 137 cm (M)]; S-7 {not more than 137cm (W)
and 145cm (M)}
|
Note-2: Down Syndrome will have only Open Age Group for both men
and women.
|
Terms and conditions:
I have come to know that
Paralympic Swimming Association of Tamilnadu with the support of their
affiliated body Then District Paralympic Swimming Assn and in partnership with
local organisations will be organizing 4th
State Level Paralympic Swimming Championship at SDAT Swimming Pool Theni.
I, the applicant, wish to
undertake this Championship voluntarily and participate in it at my own risk
and liability; and understand the risks involved. I understand that I will be
solely responsible for any sort of physical injury and consequences thereof.
I, the applicant, hereby
indemnify the organisers and their partners from any incidents/accidents/
injuries I may experience during the Championship. The organizers, Paralympic
Swimming Association of Tamilnadu and any other partner organizations involved
in the events shall not be responsible under any consequences for whatsoever
reasons.
I hereby subscribe in agreement
with the above mentioned clause by signing this application.
Applicant Signature and
Date: …………………………………………………… …………………
Witness Name and Address: Witness Signature &
Date:………………………………
………………………………………………………….
…………………………………………………………
…………………………………………………………
…………………………………………………………..
MEDICAL CERTIFICATE
(FILL UP ALL NECESSARY COLUMNS AND STRIKE OUT
WHICH ARE NOT APPLICABLE. DOCTOR IS REQUESTED TO CONDUCT MEDICAL EXAMINATION
AND FILL UP COLUMN NO. 5 AFTER
GOING THROUGH THE “CLASSIFICATION NORMS”
OF INT’L PARALYMPIC COMMITTEE)
(Please
do not do any cuttings and over writings)
1. Certified
that I, Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hospital /
Clinic, Registration No. . . . . . . . have done the Physical / Medical / Vision / IQ check up of (name) . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . S/o / D/o / W/o . . . . . . . . . . . . . . . . . . . . . . . . on
(date) . . . . . . . . . . . . . . . . . . at place . . . . . . . . . . . . . .
. . . . . .
2. In my opinion his / her disability is permanent in nature as he / she
is with the following impairment:
2.1: Post Polio Residual Paralysis of
(limb): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .
2.2: Cerebral Palsy effecting: . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
2.3: Amputation of: . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
2.4: Hemiplegia / Paraplegia: . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
2.5: Congenital Anomaly: . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
2.6: Complete absence of sight in
Left Eye / Right Eye / Both Eyes: . . . . . . . . . . . . . . . . . . . . . . .
. . .
2.7: Down Syndrome: . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
2.8: Any other: . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
3. In my opinion his / her percentage of disability is as follows:
3.1: Right Arm: . . . . . %; 3.2: Left Arm: . . . . . .
%; 3.3:
Right Leg: . . . . . %; 3.4: Left Leg: . . . . . . %; 3.5: Total Physical Disability: . . . . . . . . . . %; 3.6: Vision Impairment in Right Eye:
. . . . . . . . . . %; 3.7: Vision Impairment in Left Eye: . . . . .
. .%; 3.8: Total Vision Impairment: . . . . . . . .
. %. 3.9:
Down Syndrome
4. The nature
of his / her disability is permanent / progressive / non – progressive /
temporary / likely to improve / not likely to improve. Re-assessment is not
recommended / recommended after a period of . . . . . . . . . . . . . . . . . months . . . . . . . . .years.
5. After a
through investigation and a careful reading of the Classification Norms of
Int’l Paralympic Committee, this person falls in S - . . . . . / DS category
(no cuttings and over writings please).
6. I further
certify that he/ she is fit for swimming independently without floats and the
services of any Life Guard are not required.
7. I have also
attested the photograph of the swimmer pasted on front side.
8. Signature, Seal, Address and Phone No. of the Govt Doctor: . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . .