ADA Accommodation Request Form 2021
This form must be completed prior to attending the ASANA World Series.  Completion of this form does not guarantee approval.  Upon receipt of completed request form and any supporting documentation, all documentation will be reviewed by the ASANA Tournament Director.  The ASANA World Series UIC and/or Tournament Operations Committee may be consulted if the Tournament Director is concerned the request will disrupt the integrity of the game as defined by USA Softball.
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Correo electrónico *
Player Name *
Player Phone Number *
World Series Team Name *
World Series Coach/Manager Name *
Member City Name *
Member City Commissioner/Delegate Name *
ASANA Player Rating *
What Division is the Player participating in? *
Identify the impairment(s) for which you are requesting accommodation(s) and the expected duration of the impairment(s).   *
Explain how the impairment(s) affects your ability to participate in softball play in accordance with the rules as prescribed in the current ASANA Softball code or USA Softball rules. *
What specific accommodations are you requesting? *
Did you request any accommodations from your Member City League this season? *
If yes, please describe the accommodations that you requested and any accommodations actually provided by your League.
Has a physician, vocational rehabilitation specialist or other health professional recommended a specific accommodation? *
If a physician, vocational rehabilitation specialist or other health professional recommended a specific accommodation please describe and/or include documentation of the recommendation in the next field.
Provide any additional information that may be helpful in reviewing your accommodation request(s).
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