HomeMy WebLinkAboutAthlete Registration FormSPECIAL OLYMPICS IOWA
UNIVERSITY OF IOWA UNIFIED SPORTS DAY REGISTRATION FORM
SATURDAY, DECEMBER 2, 2017
Please send registration materials to the State Office at registrations@soiowa.org or
Special Olympics Iowa, 551 SE Dovetail Rd, PO Box 620, Grimes, IA 50111. Please call Bryan Coffey with questions at 515-986-5520.
Please complete the registration form below and submit to the State Office no later than Thursday, November 2.
PLEASE NOTE: All athletes must have a current physical on file at the State Office in order to participate and all Chaperones must
be registered as a Class A Volunteer.
GROUP/FACILITY/INDIVIDUAL: _________________________________________________________________________________
CONTACT NAME: __________________________________________________________ PHONE: __________________________
ADDRESS: __________________________________________________ CIT Y/STATE: ______________________ ZIP: _________
E-MAIL ADDRESS: ____________________________________________________________________________
ATHLETE NAME
(Note: only SOIA athletes will receive a t-shirt)
SHIRT
SIZE DOB CHAPERONE/STAFF NAME
(Note: only SOIA athletes will receive a t-shirt)
DOB
Note: Only athletes will be receiving t-shirts.