Special Olympics Howard County
Sports Registration Form
To register for a
sport, complete the information below, sign the Code of Conduct (on other side
of this form), and return to the office by the due date listed below for each
sport. Forms not received by the due date will result in the athlete's
ineligibility to participate in that sport this season.
Today's Date_____________
Athlete information:
Name__________________________________
Address________________________________City__________________State___
Zip_____
Phone______________
Birthdate____________ Medical Exp. Date (on address
label)____________
Medical exp. date must be valid through 6/13/2010 or
later to be eligible to participate. New medicals
must be completed once every three years.
If expired, contact us ASAP at info@somdhc.org
or
410-740-0500 to have a blank medical form sent. Athletes cannot practice until we have a valid medical on file.
Medications &
Dosage___________________________________________________________
Behavior
Issues________________________________________________________________
______________________________________________________________________________
Please note that
depending on behaviors, a family member or trained one-to-one may be required
to assist with the athlete during practice.
Parent/Guardian Information: *This is the point of contact regarding registration issues,
practice times, behavior issues, etc…
Name___________________________
Email*___________________________________
House Phone_____________________
Cell Phone_____________________
*Email address is
very important for communication with coordinator and for receiving
newsletters. To be added immediately to the monthly
newsletters, email bobbaker@somdhc.org requesting to be included.
Check the Sport for which you are registering: New to Sport? o Yes o
No
|
√ |
Sport |
Start
Date |
Practice
Times |
Practice
Location |
Form Due
Date |
|
|
Aquatics |
2/28/10 |
SU 9:00 – 12:00 |
Howard Comm.
Col. |
2/19/10 |
|
|
Beginner
Aquatics |
4/7/10 |
W 7:00 – 7:30
(MarTar Swimming) |
Lifetime
Fitness |
3/7/10 |
|
|
Athletics |
3/27/10 |
W 5:30-7:00, SA
10:00-12:00 |
Oakland Mills
HS |
3/17/10 |
|
|
Bocce |
4/7/10 |
W 6:00-7:30, SA 2:30-4:00 |
Cedar Lane Park |
3/26/10 |
|
|
Cheerleading |
4/6/10 |
T 6:00-7:30, TH
6:00 -7:30 |
Jeffers Hill ES |
3/26/10 |
|
|
Equestrian (minimum age
14) |
3/27/10 |
Must already
ride year round in a regular riding program |
TRRC and LeCheval Stables |
2/27/10 |
|
|
Softball
Beginner Team |
3/27/10 |
SA 2:00 -4:00 |
Cypress Meade
Prk |
3/17/10 |
|
|
Softball
Veteran Team (minimum age 16) |
3/28/10 |
TH 7:00-8:00,
SU 2:00-4:00 |
TH- Rocky
Gorge SU- Cypress Meade |
3/17/10 |
*Parent/guardian/counselor
meetings are held at the first practice; **Registration forms for Fall
sports will be mailed July 1, 2010
o Athletics (Track & Field) assessments for new
athletes - 3/24/10 at Oakland Mills HS, 5:30-6:30 pm
SEND COMPLETED FORMS TO:
SOHC, 8970 ROUTE 108 SUITE A1,
COLUMBIA, MD 21045