Region 4 - ALPINE SKIING Sign-up Form

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Region 4 - ALPINE SKIING Sign-up Form

Thank you for taking the time to sign-up for ALPINE SKIING.

> All new and returning athletes MUST complete this form if they want to participate in ALPINE SKIING.

> Completing this form will help us prepare for the season and provide contact information to the Head

Coaches.

> If your local program does not offer Alpine Skiing, you may sign up and participate with a nearby county.

Once your form is submitted, someone will follow up with more information. Thank you!

Email *

I understand I could get Coronavirus through in-person sports, training, competition and/or any group activity at Special Olympics Pennsylvania. I am choosing to participate in sports, training, competition and/or other Special Olympics Pennsylvania activities at my own risk.

Yes

Your Home Team / Local Program: *

I would like to sign up for Alpine Skiing with: *

Lackawanna County - Montage

Pike County - Ski Big Bear

Are you a new or returning athlete? *

NEW = you have never participated in Special Olympics PA sports

RETURNING = you have previously participated in Special Olympics PA sports

I participate at my school as a Unified Champion School athlete (Unified Bocce or Track & Field)

I don't know

First Name *

Last Name *

Mailing Address *

City *

ZIP Code *

Phone Number: *

Gender *

Male

Female

Prefer not to say

Athlete Date of Birth *

YYYY

Parent/Caregiver/Support Staff's First and Last Name *

Parent/Caregiver/Support Staff's Home or Cell Phone # *

Parent/Caregiver/Support Staff's email address

Are there any Winter Sports not being offered in your Team/ County that you would like to see offered?

Submit

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