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Young Athletes At-Home Family Interest Form
Welcome! Thank you for your interest in Special Olympics Maryland's Young Athletes At-Home Program. Special Olympics Maryland is working with Local School Systems to offer gross motor curriculum and equipment to get you and your child active and engaged at-home during these unprecedented times.

After you fill out this interest request, your Special Olympics Maryland Local School System Young Athletes Program Coordinator will contact you to go over details before your at-home equipment order is completed.

If you have any questions throughout this process, feel free to reach out to Mackenzie Irvin, Director of the Young Athletes Program at mirvin@somd.org.
Email *
Name (First & Last) *
Young Athlete's Name (First & Last). *
Email Address *
What age is your Young Athlete? *
You can select multiple ages if you have more than one child.
Required
What is your Local School System *
What is your Young Athlete's Elementary School/ Early Head Start/ Head Start Center? *
Does your Young Athlete have an IEP/504B/IFSP? *
Questions and comments
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