2022 USA Games Individual Sport Athlete Nomination Team Louisiana

2022 USA Games Individual Sport Athlete Nomination Team Louisiana
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Birth: *

Month Day Year
Date
Cell Phone *

Area Code Phone Number
T Shirt *
Phone Number: *
Email address: *
example@example.com
Gender: *

[ ] Male [ ] Female
Parent/Legal Guardian (required for ALL athletes) *

First Name Last Name
Parent/Legal Guardian Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Phone Number: *
Cell Phone: *
Individual Sports Athletes
You will need to fill out and submit all of above information for athlete. You must have received a gold medal at a state competition in the sport for which you are applying in either 2018, 2019 or 2020.
Year of your gold medal: *

[ ] 2018 [ ] 2019 [ ] 2020
Select your individual sport *

[ ] Athletics [ ] Bocce [ ] Bowling [ ] Powerlifting [ ] Swimming
Has this athlete ever attended a USA Games or World Games? *

[ ] Yes [ ] No
if yes, what year?
if yes, what sport did you participate in?
How many years has the athlete participated in Special Olympics Louisiana? *
Other SOLA sports participated in? *
Hobbies/hidden talent? *
What is your hero/idol and why? *
Where do you go to school (or work)? *
if you have a job, what kind of work do you do? *
Favorite moment at a SOLA event: *
Why do you want to go to USA Games? *
Are you able to commit to the 12-months of training leading up to USA Games? *

[ ] Yes [ ] No
Are you able to fundraise the required $500 to be a part of the Team Louisiana delegation for the 2022 USA Games? *

[ ] Yes [ ] No
Name of your local coach: *

First name Last Name
Local Coach Phone: *
Upload a photo of yourself *

Browse Files

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Comments:
Signature *

Clear
I have read and understand the job description and general expectations of the position and the information I have given SOLA is true and complete. I understand that I will need to attend all meetings, trainings, the mini-camp and conference calls. I understand that I will need to raise a minimum of $500 to cover my expenses. I understand the SOLA staff may remove me from the delegation if I fail to meet the requirements of the job description or act outside the Code of Conduct.
Should be Empty:

2022 USA Games Individual Sport Athlete Nomination Team Louisiana

Individual Sports Athletes