Special Olympics Howard County
Winter Sports Registration Form
To register for a
sport, complete the information below, the Code of Conduct (on the 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 date (on label) must be valid through 03/25/2008
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 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 |
|
|
Alpine Skiing** |
1/6/08 |
SU 10:00–11:00
a, TH 7:30-9:00 p |
Centennial Pk /
Quest |
12/19/07 |
|
|
Basketball
Skills |
1/2/08 |
WE 6:00 – 8:00
p |
Bonnie Branch
MS |
12/15/07 |
|
|
Basketball 3x3 |
1/2/08 |
WE 6:00 – 8:00
p, SU 12:00-2:00p |
Harpers Choice
/ GCS |
12/15/07 |
|
|
Basketball 5x5 |
1/2/08 |
WE 6:00 – 8:00
p, SU 2:00-3:30 p |
Long Reach /
Nazerine |
12/15/07 |
|
|
Cross Country
Skiing** |
1/6/08 |
SU 10:00–11:00
a, TH 7:30-9:00 p |
Centennial Pk /
Quest |
12/19/07 |
|
|
Snowshoeing** |
1/6/08 |
SU 10:00–11:00
a, TH 7:30-9:00 p |
Centennial Pk /
Quest |
12/19/07 |
*Parent/guardian/counselor
meetings are held at the first practice
**Minimum age is 14
for Alpine Skiing, Cross Country and Snowshoeing. Optional Sunday walks around Centennial Lake begin 12/2/07, 10:00a.
***Registration for
Aquatics, Athletics, Equestrian, Golf and Softball will be mailed in late
January
Basketball assessments for new athletes/athletes moving up - 12/12/07
at Harpers Choice MS, 6:00-7:00 pm
SEND COMPLETED FORMS TO:
SOHC, 8970 ROUTE 108 SUITE A1,
COLUMBIA, MD 21045