Track and Field Registration - Developmental Events

	A	B	C	D	E	F	G	H	I	J	K	L	M
1	School							Contact/Representatives Name
2	Phone							Email
3	Distances must be in meters not feet & inches. Times should be to the hundredth of a second (example: 1:34.29) Maximum of 2 events per athlete (start a new sheet if you need more room). E-mail completed form to specialolympics@buncombecounty.org
4	Athlete's Legal Name	Date of Birth	Age	Gender	Add Times or Distance				Check to indicate participation
5	Athlete's Legal Name	Date of Birth	Age	Gender	10 Meter Assisted Walk	25 Meter Walk	Tennis Ball Throw	10 Meter Wheelchair	Bean Bag Toss	Ball W/Ramp	Ball Roll	Tennis Ball w/switch	Ball Roll w/switch
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