First Name *

Last Name *

Date of Birth *

Email *

Confirm Email *

Phone Number *

Gender *

Area

County Located (Ex: Cobb County) *

Agency/Program (Ex: Cobb County Special Olympics)

Have you participated in esports before? *

Which gaming platform(s) do you prefer to use? Select all that apply. *

Which types of games would you like to see used for an esports tournament? Please note not all games are available on all platforms. Select all that apply. *

Are you an Athlete or Unified Partner? *

Do you have an up-to-date Athlete Medical Packet on file with Special Olympics? (FOR ATHLETES)

Do you have an up-to-date Volunteer Form on file with Special Olympics? (FOR UNIFIED PARTNERS)

Did you read and agree to the waiver found on the SOGA esports website? *

Date you completed the waiver: *