Special Olympics Cumberland County Unified Floor Hockey

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Again this year, Special Olympics Cumberland County's exciting Unified Floor Hockey Program will be hosted by members of the Cheverus High School boy's and girls hockey teams. These student athletes will serve as Coaches, Unified Partners and Officials.

Please complete the following form to register to join us for these fun and exciting nights through March!

When: March 14th / 21st/ 28th

Time: 6:00pm-7:30pm

Where: Cheverus High School - 267 Ocean Ave, Portland, ME 04103

MEDICAL RELEASE FORMS*: All Athletes MUST have a current Special Olympic medical on file. Medicals are good for three years. Please note - No athlete medical, No participation

http://www.somaine.org/resources/athlete-resources/athlete-registration-forms/

Athletes Name *

Athletes Date of Birth *

YYYY

Athletes Program *

If Independent Athlete, answer "Independent"

Street Address *

Town/City *

Zip Code *

Email *

Phone Number *

Emergency Contact Name *

Emergency Contact Number *

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