Athlete Registration Form
Choctaw FoP Special Olympics Fundraiser
Join us on April 10th at 6PM for a heartfelt evening of games, drinks, and community support to help our athletes participate in the upcoming Summer Special Olympics. Your presence can make a difference..
Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What Department are your employed with?
Gender
Female
Male
What Team Will you Play on
*
Law Enforcement
Fire Department
Medical
Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
4X-Large
Emergency Contact
I, the athlete, agree with the following statements:
I am physically able to take part in the activities.
I know there is a risk of injury. I understand the risk of continuing to play sports with or after a concussion or other injury. I may have to get medical care if I have a suspected concussion or other injury. I also may have to wait 7 days or more and get permission from a doctor before I start playing sports again.
I will respect and obey all laws and the athlete's Code of Conduct.
Date
-
Month
-
Day
Year
Date
Signature (Athlete or Parent/guardian)
Submit
Submit
Should be Empty: