Track & Field Registration Form 2018 Friday, April 27th
In order to compete, all athletes must have a current physical on file with Special Olympics by the time of the competition. To check on current physical exam expiration dates for athletes, please EMAIL your list of athletes to Kerry Simmons area34@somi.org. Athletes will not be able to compete if they DO NOT have a current health appraisal.

Visit www.somi.org/area34 for the health appraisal (physical) form.

*PLEASE NOTE* Athletes can only enter events in one area
(Track & Field, or Wheelchair)

**REGISTRATIONS DUE Friday April 6th**

***All Athletes who do NOT have a current health appraisal on file by FRIDAY April 6th will be DROPPED from competition!***

Email address *
Age *
Your answer
Last Name *
Your answer
First Name *
Your answer
Gender *
Email Address
Your answer
School Name / Group Home Name *
Your answer
Teacher/Coach *
Your answer
Teacher/Coach Phone Number
Your answer
Would you like to request a volunteer to assist with this athlete?
If you have peers coming with you, they will need to bring a lunch with them. They will not have a lunch provided by the event.
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