Healthy Hustle Registration Form

Healthy Hustle Registration Form

Our goal is to meet the needs of each athlete, while within a group setting. SOMO will offer Healthy Hustle Athletes rewards for meeting attendance and specific health targets! For every 5 classes attended, athletes will have the opportunity to choose a reward from THE PRIZE BOX! These fitness classes are held all across the state of Missouri, please check to see if your area is running Healthy Hustle classes!
Athlete Information
Name*

First NameLast Name
Area
Athlete age:
Are you participating with a group or attending as an individual?
Guardian / Parents Names*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Contact:*
Mobile Contact:
E-mail*
example@example.com
Is there anything you would like the Special Olympics Staff to be aware of when training your athlete during The Healthy Hustle classes?
Important Notes

· Workout Clothes to be worn if possible.

· Closed toed shoes to be worn.

. Bring water bottle.
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Does your athlete have any allergies, chronic illness, or medical conditions that would limit high level activtiy?*

YesNo
Please describe*
Signature*

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