MONTGOMERY RELAY

November 2006   Page

Text Box: 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. 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 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! 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. Text Box: Halderman on the Hotline if your medical is about to expire and you have not received a new form. NOTE that 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 or Email to: webmaster@somdmontgomery.org Text Box: Sport Season Training Sign-up Form Complete and mail in or call to Hotline 301-924-6965

 

Athlete Name:_______________________________________________DOB___________

Address:_______________________________________City_____________Zip________

Home Phone: (_____)__________________Email:________________________________

Emergency/Family Contact:________________________Phone_____________________

School:_________________________________________Grade_________