NEW*  All registered SOMO Athletes wishing to train in a sport or more than one sport EACH season MUST  EITHER: mail in this completed form  or complete the online SIGN-UP form on our webpage      We no longer allow  HOTLINE phone-in sign-ups . It is our goal to have all athletes mail in the training sign-up form or use the online sign-up form as this gives us an accurate and up to date record of contact information  for our athletes and families—THANK YOU!     Please check the box □ in front of the sport which you wish to choose as your “primary sport”. This is the sport to which you make your primary commitment.

All completed Sign-In 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 and leave a message for Carol       Halderman ( box #6)  if your medical is about to expire and you have not received a new form. 301-924-6965

      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 new          information or by email:

Webmaster

@somdmontgomery.org

Sport 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): __________________________        __________________________________________________________________________