2018-2019 Winter Participant Application
Thank you for taking the time to complete this form honestly and thoroughly. The information will allow us to provide the best service possible!
Please upload a current photo/headshot.
Participant First Name *
Participant Last Name *
Date of Birth *
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Gender *
Mailing Address - Street *
City *
State *
Zip Code *
Email - Participant or Guardian (*We will send important info throughout the season) *
Phone - Primary *
Emergency Contact - Name *
Emergency Contact - Relation to Participant *
Emergency Contact - Primary Phone # *
I am: *
School or Special Olympic Group (if applicable)
Are you a winter ski/snowboard Special Olympic Athlete? *
Are you a Military Veteran? *
If a Veteran, is your disability service connected?
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