Pickle Ball Clinic Form
Hello Everyone! The Special Olympics KC Metro is partnering with Chicken N' Pickle, and we are hosting a pickle ball clinic this summer. It will occur on Wednesday June 22 1-3pm @ Chicken N’ Pickle: 1761 Burlington St North Kansas City, MO 64116. If you have any questions, contact Meg Ward at ward@somo.org. Cannot wait to see everyone there! Physicals due: Wednesday, June 15 at noon.
Name
Gender
Age
Email Address
Phone Number
Emergency Contact
Emergency Contact's Phone Number
Are you a current athlete with Special Olympics Missouri?
Do you have a current physical? Physicals expire after 3 years. All physicals must be sent to Meg Ward by June 15 at noon. If we don't receive a physical by this date, then you will not be able to participate in this clinic.
Is there anything additional that you'd like for us to know?
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