So Usa Athlete Information Packet
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1
2SPECIAL OLYMPICS USA
2017 SPECIAL OLYMPICS WORLD WINTER GAMES – AUSTRIA
Athlete & Unified Partner Information Packet – Supplement to SOI/GOC Games Paperwork
Athlete or Unified Partner Information
(please print or type)
(First):
(Middle):
(Last):
Full Legal Name:
Has this athlete been selected as a competing an alternate?
Athlete
Alternate
In which sport has this athlete/UP been selected to try-out for the 2017 Games?
Special Olympics State Program
Email:
City of Residence:
Gender:
Male
Female
Age:
Preferred Phone:
(
)
Best Time to Call:
Languages other than English spoken fluently (please list):
Additional Contact Information
Parent/Legal Guardian
First Name:
Last Name:
Cell Phone
(
)
City of Residence:
Best Time to Call:
Email Address:
Emergency Contact (if different from above)
First Name:
Last Name:
Cell Phone:
(
)
City of Residence:
Best Time to Call:
Email Address:
Relationship to
Athlete:
Local Coach (person who will train athlete locally to prepare for the Games)
First Name:
Last Name:
Cell Phone:
City of Residence:
Best Time to Call:
Email Address:
SPORTSMANSHIP * TEAMWORK * ACCOUNTABILITY * INTEGRITY * RESPECT
SO USA Athlete Information Packet
Revised 01/2017
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