I want to join!!

Porter County Special Olympics Interest Form

Thank you for your interest in joining our Porter County Special Olympics family! Please complete the following information.

***ALL ATHLETES ARE REQUIRED TO HAVE AN APPLICATION AND MEDICAL ON FILE***

***ALL PARTNERS ARE REQUIRED TO COMPLETE CVO TRAINING AND HAVE AN APPLICATION ON FILE***

Not sure where you fit in? Are you eligible to be an athlete? Click here.

Date
Name	Status
Day Phone
Eve Phone
Email
Address
City	Zip
Employer	(if applicable)
Occupation	(if applicable)
Parent / Guardian / Care-Giver
Name
Relationship	if Care-Giver, please list agency
Day Phone
Eve Phone
Email
Address
City	Zip

Sports
Weekly commitment of at least 2 - 4 hours per week for 4 - 12 weeks preceding state competitions. Check which sport(s) that apply:

Aquatics
Athletics
Basketball
Bocce
Bowling
Flag Football
Golf
Gymnastics
Skiing/Snowshoeing
Softball
Volleyball
Other

Please contact me as soon as possible regarding this matter.