MONTGOMERY RELAY

 

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Text Box: Each athlete must send in or call in their own request. Spaces will be filled based on a postmark date and phone-in date priority. All completed Sign-In forms should be mailed to: Special Olympics Md- MO PO Box 1809 Rockville MD 20849 NOTE that on your mailing label your SOMO Medical Expiration date is listed. Text Box: All registered SOMO Athletes wishing to train in a sport or more than one sport this season MUST EITHER: Mail in this completed form or call the Hotline –Box #6 and leave your name, your phone and the sport/s in which you wish to train.. Although we do allow HOTLINE Phone-in sign-ups, we encourage the use of this mail in form. It is our goal to have all athletes mail in the training sign-up form as this gives us an accurate and up to date record of contact information for our athletes and families—THANK YOU! Text Box: ALL ATHLETES MUST HAVE AN UP-TO-DATE MEDICAL ON FILE WITH OUR MEDICAL DIRECTOR IN ORDER TO SIGN UP FOR AND TRAIN IN ANY SPORTS PROGRAM. Leave a message for Carol Halderman /box #6 on the Hotline 301-924-6965 if your medical is about to expire and you have not received a new form. SOMO medicals are good for 3 years, but often your contact information or medical condition will change — please keep us up to date with address, phone , email and emergency contact information changes!

 

Athlete Name:_______________________________________________DOB___________

Address:_______________________________________City_____________Zip________

Home Phone: (_____)_______________Email:____________________________________

Emergency Family Contact:_________________________

Phone: (_____)____________________

School:_________________________________________Grade_________
Text Box: □ Juniors T-ball in PASA program - complete and mail in PASA registration

February 2007      Page 9

 

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NEW! Sport Season Sign-up form can be completed and submitted online by going to www.somdmontgomery.org