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SPECIAL OLYMPICS BASKETBALL ATHLETES INFO (2019-2020)
Please fill out the form if you are interested in playing Special Olympics Basketball this year!
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First Name:
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Your answer
Last Name:
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Your answer
Email
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Your answer
Phone Number:
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Your answer
Address:
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Your answer
Date of Birth:
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MM
/
DD
/
YYYY
Have you participated in Special Olympics Before?
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Yes
No
Did you play Special Olympics Basketball for Area 16 (Kalamazoo) Last year?
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Yes
No
Not sure
If Yes.. Please Answer Below:
I feel I was on the correct Team
I feel I was too good for my Team and should move up
I feel I struggled on my Team and I would like to move down
Other:
Clear selection
If no....Have you ever played Basketball Before?
When I was little
For Fun
Middle School
High School
Other:
What would you rank your skill level?
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Low (Never have really played before)
1
2
3
4
5
6
7
8
9
10
High (Very completive
Are you able to play in the Tournament (Sunday, January 26 one of the time slots 8am-Noon, Noon-4pm, or 4-8pm) @ Kalamazoo College!
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Yes
No
Shirt Size
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S
M
L
XL
XXL
XXXL
Emergency Contact Person Name
*
Your answer
Contact Person Phone Number
*
Your answer
Contact Person Email
Your answer
How did you hear about Special Olympics Basketball?
Your answer
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