Sport Registration | Polk County

Athlete's Name*

First Last

Athlete Gender*

Athlete Date of Birth*

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DD

YYYY

Parent/Guardian Name*

First Last

Phone*

Email*

City/Area Where You Live*

Type in Your City

I am registering for the following sport:*

Basketball
Young Athletes

Training and Competition

Complete and thorough training is essential to the mission of Special Olympics. Athletes must be present at all scheduled practices in order to compete at county, area, and state games.

Yes, I understand

Athlete Participation, Medical, & Code of Conduct Forms*

All athletes must have a current medical form on file (retained for 3 years) or have a medical form completed and signed by the first practice of each sport season.

My medical form is current
I will have my new medical form available on or before my first practice.

Are you a Unified Partner?

Yes
No
Not sure what a Unified Partner is.

Have you previously participated in our program?*

Yes
No

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