Unified Fitness Registration

The Unified Fitness Program involves a pair of similar-age people with and without intellectual disabilities training together at least twice a week for structured workouts over twelve weeks. You are training partners: encouraging, motivating and pushing yourselves and each other to do your best.  

This program can be conducted in the off-season, and/or in-season, in addition to any sport-specific training you may be doing. Over the course of the upcoming twelve weeks, participants will meet a minimum of twice a week at your workout location such as a school/university, gym/fitness center or home together for 60 minutes.  Each workout will consist of 5 parts: warm-up, cardiovascular endurance, strength and cool down using flexibility and balance exercises. 

The Athlete in the pair is the individual with an Intellectual Disability. The Unified Partner in the pair is the indivdiuals without intellectual disabilities.

If are a pair registering for Unified Fitness (both Athlete and Unified Partner) please completed the reigstration form below. 
If you are interested in participating but are not part of a pair (Athlete and Unified Partner) please reach out to Charla Stein, Healthy Communities Coordinator, cstein@specialolympicspa.org, for assistance in finding someone to pair with.
Sign in to Google to save your progress. Learn more
Athlete's Name: *
Athlete's Email: *
Athlete Perferred Cell Phone Number:
If SOPA needs to contact you
Athlete's Zip Code: *
Athlete's Local Program:
If associated/participating with Special Olympics Pennsylvania
Unified Partners Name: *
Unified Partners Email: *
Unified Partners Cell Phone:
If SOPA needs to contact you
Unified Partners Zip Code: *
 Name of Training Site/Gym:
Your training site should be an agreed upon site that is convient to both individuals. It should include workout equipment such as a treadmill, weights, or machines. The site could be a school/university, gym/fitness center or home.
Anticipated Start Date: *
MM
/
DD
/
YYYY
Anticipated End Date:
Unified Fitness requires a minimum of 12 weeks.
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms