2019 TOPSoccer & D303 United Special Olympics Athlete Registration
Please complete this form and have athlete's physician sign the medical "Special Olympics Application for Participation" form.
Email address *
Athlete Name: *
Your answer
Birthdate *
MM
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DD
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YYYY
Athlete t-shirt size: YM YL YXL AS AM AL AXL *
Your answer
Athlete short size: YS YM YL YXL AS AM AL AXL *
Your answer
Athlete shoe size *
Your answer
Parent(s) Name: *
Your answer
Grade & School Athlete Attends: *
Your answer
Parent Cell Phone #:
Your answer
Other Parent/Guardian Cell Phone #
Your answer
Parent Email Address: *
Your answer
Other Parent/Guardian Email Address:
Your answer
Emergency Contact Name (if other than parent):
Your answer
Emergency Contact Phone Number:
Your answer
Athlete allergies (be specific):
Your answer
Can we share your email with other parents? *
Other information we should know:
Your answer
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