NOTE: All registered SOMO Athletes wishing to train in a sport or more than one sport MUST  either mail in this completed form or better yet, complete the online SIGN-UP form on our website.    WE WILL NO LONGER ACCEPT PHONE-IN SIGN-UPS. It is our goal to have all athletes use the online sign-up form as this gives us the most accurate and up-to-date record of contact information for our athletes and families. It also allows us to contact you with important sports training information more efficiently! You can mail in the sign-up form if you do not have access to a computer.

Check the sport/sports in which you plan to participate and be sure to complete all of the information.

All completed Sign-Up forms should be mailed to:

Special Olympics  Md- MO

PO Box 1809

Rockville  MD  20849

Note that on your Relay newsletter mailing label your SOMO Medical Expiration date is listed.

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. 

 

      Call the HOTLINE      (301) 924-6965 and leave a message for Carol Halderman (voice box #6) if your medical is about to expire and you have not received a new form or for medical questions.

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!

Call the hotline with any new          information or email:

          Webmaster

@somdmontgomery.org

Summer/early fall  Season Training Sign Up

Athlete Name:_______________________________________________DOB____________

Address:_______________________________________City_____________Zip_________

Home Phone: (_____)__________________Email:__________________@______________

Emergency/Family Contact: ___________________________________________________

Cell or Home Phone (______)_________________________

School:_________________________________________   Grade_________

Family Email: ___________________________________@___________________________

Please indicate any athlete behavioral issues, medical conditions, medications we need to know about during training _________________________________________________

Can you pick up an athlete for practice, competitions or other events?   _____

All athletes are expected to attend as many practices as possible.  Please note if there is a             known conflict (list dates to be missed and reason): __________________________        __________________________________________________________________________

 

□    Sailing         □  returning athlete     □  new athlete       

□    Kayaking interest—please note that the program is full at this time.

□    Cycling Team     □  returning athlete     □  new athlete  

□    Cross Country Running     □  returning athlete     □  new athlete

□      Tennis                □  returning athlete     □  new athlete

□    Golf          □  returning athlete     □  please place me on waitlist