2020 Special Olympics Track & Field
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Male or Female *
Athlete's Age. Must be 8 and up *
Your answer
Athlete's date of birth *
MM
/
DD
/
YYYY
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Guardian's Mobile telephone number *
Best in case of emergency
Your answer
E-mail address. Indicate "none" if none available *
Your answer
Please describe the player's diagnoses and/or special needs so we can do our best to accomodate. Please indicate list of medical conditions that we should be aware of. *
Your answer
Please indicate if the player needs assistive device such as wheelchair, braces, walker, etc. *
Your answer
I understand that Parent/Guardian must be present at practice/meets *
Required
Special Olympic's Three Year Medical Form required to participate at practices and compete at meets (Stockton University meet and Summer Games)
Medical is good for 3 years. Form is available on website.
I/We give permission for my son/daughter to participate in the Upper Township Challenger Sports Program. If my son/daughter is over the age of 18, I represent that I have legal authority to sign on their behalf. I/We agee to return equipment issued to my child in good condition as when received, except for normal wear and tear. I/We assume all risk of injury due to participation in this sport and release the Township of Upper and Upper Township Challenger Sports for any liability in this regard. I/We give permission to Upper Township Challenger Sports and Township of Upper to display my son's/daughter's photo *
Required
Choose events to participate in *
Athletes may compete in two individual events and two relays (Relay space is limited. Teams will be TBA) We will do our best to accomodate your event request.
Required
Track & Field Uniform Size *
If you need a uniform please indicate shirt and short size YS, YM, YL, AS, AM, AL, AXL, AXXL
Your answer
I have uniform from last year *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy