PARALYMPIC SWIMMING ASSOCIATION OF TAMILNADU
PRESS RELEASE on the forthcoming
3rd State Level
Paralympic Swimming Championship -2015
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,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 2015, the PSATN is planning to
conduct an Intra State competition wherein participants from various parts of
TN can attend a selection process.
The 3rd State Level Championship is
scheduled to be held under the auspices of PSATN from 24th Jul to
25th July,’15 at the SDAT aquatic complex at Velachery, Chennai between 7:00 am
and 6:00 pm.
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)
·
S14
– Intellectual Impairment (With learning related disabilities-persons who are
having IQ level below 75 poins)
· DS -Down Syndrome
For more details on classification, please go through
the following link:
http://www.paralympic.org/swimming/rules-and-regulations/classification
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 15th
National Paralympic Swimming Championship.
PSATN is looking forward to enthusiastic participants
from all over Tamil Nadu to give their names to the Association in the
prescribed format on or before 10th July,’15 to facilitate the
organisers to plan this state level event.
The participation would be free of cost and the PSATN will arrange breakfast, lunch and
evening tea on both the days and dinner on 1st day of the event.
Accommodation will be provided for outstation candidates on 24th
Jul.’15. First day, our doctors will do
classification. Classification done by our doctors will be final. Maximum
number of 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 2nd State Level Paralympic Swimming
Championship should bring the ID card issued by us 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,’15.
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: madavi.prathi@gmail.com
PARALYMPIC SWIMMING ASSOCIATION OF TAMILNADU
(3rd 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
|
At SDAT Aquatic Complex, Beside Raj
Bhawan, Guindy, Chennai
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 State Level Championship? 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 events only)
8. Full Postal Address of the Swimmer:
9. Name of the Coach : . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Age
groups (Swimmers not sending
copy of Original Date of Birth Certificate issued by Corporation shall be
considered only for Senior category):-
11. Age groups:-
1.
Seniors (Men & Women) - 19 years and
above – born in or before 1996.
2.
Juniors
(Men & Women) - 15 to 18+ years – born in and between 1997 –
2000.
3.
Sub-Juniors
(Men & Women) - Below 15 years – born in 2001 or
after.
12. Last date for submission of application is 10th July.’15.
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
13. Age Group, Class and Event: (Swimmers will participate in their
own age groups & classes):-
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Age
Groups and their events
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IPC Classification
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Seniors/Open - (Men & Women)
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Juniors (Boys & Girls)
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Sub Juniors (Boys & Girls)
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S1 to S5
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke, 50 Mt
Butterfly Stroke
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke, 50 Mt
Butterfly Stroke
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke
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S6 to S10, S11
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100 Mt Free Style, 100 Mt Breast Storke, 100 Mt Back Stroke, 100
Mt Butterfly Stroke, 200 Mt Individual
Medley
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100 Mt Free Style, 100 Mt Breast Storke, 100 Mt Back Stroke, 100
Mt Butterfly Stroke
|
50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke, 50 Mt
Butterfly Stroke
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Down Syndrome
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50
mt free style and 50 mt back stroke
(Open Age group only)
|
||
S14
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke, 50 Mt
Butterfly Stroke
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke, 50 Mt
Butterfly Stroke
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50 Mt Free Style, 50 Mt Breast Storke, 50 Mt Back Stroke
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Terms and conditions:
I
have come to know that Paralympic Swimming Association of Tamilnadu in
partnership with local organisations will
be organizing 3rd State Level Paralympic Swimming Championship at
SDAT Aquatic Complex, Chennai.
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 FITNESS CERTIFICATE FOR THE PERSON WISH TO
PARTICIPATE IN SWIMMING
Pl paste passport size photograph of the participant
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(PLEASE FILL UP ALL NECESSARY COLUMNS AND
STRIKE OUT WHICH ARE NOT APPLICABLE. DOCTOR IS REQUESTED TO CONDUCT MEDICAL
EXAMINATION AND CERTIFY THE PHYSICAL FITNESS OF THE APPLICANT TO PARTICIPATE IN
SWIMMING COMPETITION.
(Please
do not do any cuttings and over writings)
1. Certified
that I, Dr. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hospital /
Clinic, Registration No. . . . . . . . have done the Physical / Medical / 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 suffering from:
2.1: Post Polio Residual Paralysis of
(limb): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . .
2.2: Cerebral Palsy effecting: . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . .
2.3: Amputation of: . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
2.4: Hemiplegia / Paraplegia: . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
2.5: Any other: . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . .
3. 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.
4. I further
certify that he/ she is fit for participating in Swimming competition.
5. I have also
attested the photograph of the participant pasted above.
6. Signature, Seal, Address and Phone No. of the Govt Doctor: . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . .
Dear Madam, if possible pls post the results with time taken for each category. so others [those missed medals] can try and get some medals.
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