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fax (219) 531-2876

 

 


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News / Upcomming events

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.