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New Athlete Information Request Form

 

Please complete this form to request a registration packet for a New Athlete to get involved in our program.

IMPORTANT NOTE: Completing this form DOES NOT complete the registration process for an athlete to be eligible for Special Olympics participation. The potential athlete's physician still must complete a Athlete Medical Release Form before and athlete can begin training or competing in the program.

CURRENT SPECIAL OLYMPICS COACHES: Completing this form DOES NOT register an athlete or athletes for a specific Special Olympics Kentucky competition. Please contact the proper Program Director for event registration information.

Athlete First Name
Athlete Last Name

School/Organization

Mailing Address

City State Zip Code

County

Home Phone Work Phone Cell Phone

E-mail Address

Other Information
Date of Birth
Sex Male Female


Have you ever participated in Special Olympics?

  Yes No  

Does athlete have a current Special Olympics Kentucky Medical?

  Yes No  

Please check the sports in which you are interested:

  Fall Sports (August-December)
Bowling Equestrian  
  Artistic Gymnastics 5 a-side Soccer  

  Winter Sports (November-March)
  Alpine Skiing Basketball Cheerleading  
    Snow Shoeing    

  Spring Sports (February-June)
  Aquatics Bocce Rhythmic Gymnastics  
  Flag Football Track & Field    

  Summer Sports (June-September)
  Golf Softball    

Parent/Guardian Information:

First Name Last Name

Organization

Mailing Address

City State Zip Code

Home Phone Work Phone Cell Phone

E-mail Address

Have you ever participated in Special Olympics?

    Yes  

Are you interested in coaching Special Olympians?

    Yes  

Are you interested in chaperoning Special Olympians?

    Yes  

Would you like to volunteer at a competition/tournament?

    Yes  

Would you be interested in fundraising for Special Olympics?

    Yes  

Would you like to receive information on how to contribute to Special Olympics?

    Yes  

Enter any additional comments in the space provided below:

IMPORTANT NOTE: Submitting this form DOES NOT complete the registration process for an athlete to be eligible for Special Olympics participation. The potential athlete's physician still must complete a Athlete Medical Release Form before and athlete can begin training or competing in the program.

CURRENT SPECIAL OLYMPICS COACHES: Submitting this form DOES NOT register an athlete or athletes for a specific Special Olympics Kentucky competition. Please contact the proper Program Director for event registration information.



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Special Olympics Kentucky
105 Lakeview Court
Frankfort, KY 40601
800-633-7403/502-695-8222
FAX: 502-695-0496
soky@soky.org
 

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Revised Friday, August 1, 2014

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