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2 0 0 8 Registration Form |
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| for athletes: | |||
| Name: | _________________________________ | Age:________ | |
| Address: | _________________________________ | Birthdate:___/___/___ | |
| City/Zip: | _____________________________ | Shirt Size:______ | |
| Phone#: | _________________________________ | Sex: M or F | |
| E-mail: | _________________________________ | Social Security#___________ | |
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For Softball, Basketball & Soccer only: Uniform Size: Pants:____________ Shirt:____________ Disability or Disorder:__________________________________________________________ |
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For Athletes: YES or NO I are new to Special Olympics and need an Athlete Medical Form. (circle one) |
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| For Volunteers: | |||
| If you are not an athlete and wish to volunteer, check here ____ and supply us with your name, address, phone# and e-mail address. THANK YOU !! | |||
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For Unified Golf, mail this form to: Mark Staggs 339 Center Park Drive Florence, KY 41042 |
For Softball, mail this form to:
Tim Wagner 412 West 12th St. Newport, KY 41071 |
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For Basketball, mail this form to: Debbie Wagner 822 Linden Avenue Newport, KY 41071 |
For Soccer, mail this form to:
Mark Staggs 339 Center Park Drive. Florence, KY 41042 |
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