2019 Special Olympics Regional 4x100 Relay & Unified Team 4x100 Relay Penobscot, Piscataquis, Hancock Area
Event Date: May 1, 2019. Registration due by April 1, 2019
Location: Cameron Stadium, Behind William S. Cohen School, Bangor
Event Chair: Wendy Gilbert (wegaskum@gmail.com)
8:15- Registration
9:00- Events Start

To register Athletes & Unified Partners in your delegation for the Unified Team 4x100 Relay or the traditional 4x100 Relay, complete the form below. This registration form will allow you to register 5 teams at a time. Delegations with more then 5 teams will be required to submit this form again (there will be a link to "Submit another Response" once you submit this form). Delegations are required to provide a qualifying score for each team. Qualifying scores should be obtained by completing the required training and will be used to properly division teams by age and ability. Coaches are not permitted to compete as Unified Partners.

You will need the following information to complete this registration process:
o HOD Name/Email
o Team/s with 2 Athletes & 2 Unified Partners
o Athlete: Gender, Date of Birth
o Unified Partner: Gender, Date of Birth
o Each Team is REQUIRED to submit a qualifying score

At anytime during this process you can always select the "Back" button (bottom of the form, to the left of the "Next" button) to go back and review/edit the data that you completed prior to your current section. Once this form is completed entirely and submitted (click "Submit" on the last section) the HOD will receive an email (to the email provided) with a PDF confirmation of what you submitted. Changes to what your Delegation submitted can be made up until 2 weeks prior to the event, the sooner the better! Please Email Christina Ehrhard, tina.specialo@gmail.com, with changes.

Athletes must have a current Athlete Medical and Consent/Release on file with SOMaine prior to May 1st in order to be properly registered for this event. To check on your athletes medical and consent information contact Mike Littlefield, mikel@somaine.org or 207-879-0489. Blank Medical and Consent Forms can be downloaded by going to: www.somaine.org/sports/athlete-resources/. Medicals remain current for three years and the release is good forever (or until updated). The Release form was recently update in 2017. Any athlete with a Release form signed prior to January 1st, 2017 must submit a new updated consent.

Delegation *
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Head of Delegation Name *
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Head of Delegation Email *
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