Form

Athlete's First Name   Last Name
Athlete's DOB   Date   
Athlete's Address   Street Address   Address Line 2   City   State   Zip   

List Any Diet Restrictions   Type a label   
List Any Allergies   Type a label   

Emergency Contact   First Name   Last Name   
Area Code   Phone Number   

This year, there is a limited number of one-on-one volunteers available, so please plan accordingly as we will not be able to accommodate every request.
A one-on-one volunteer is someone who supports an athlete throughout the day by guiding them through activities and offering encouragement.
Please note that for athletes who already receive 1:1 staffing through their group home, a volunteer will only be assigned if there is a surplus available.

I already have my own one-on-one that can accompany me through out the day   YES   NO   
If yes, please provide   First Name   Last Name   Area Code   Phone Number   

I am aware that media coverage will be present and there is a possibility that photos may be published       
I grant permission for the athlete to compete in the Wolcott Special Games

Signature