I am interested in Special Olympics because I am: Check all that apply
Athlete (someone with an intellectual disability)
Unified Sports Partner (someone interested in competing with Special Olympics athletes)
Family Member (parent, grandparent, sibling, cousin aunt or uncle)
A professional in the field of sports or disability services
Someone from the community interested in getting more involved

Full Name

Preferred Method of Contact
Contact Method? Email Home Phone Cell Phone Work Phone

Email Address *
Confirm Email Address *
Phone Number *

Cell Phone
Work Phone
Address
City
State
Zip Code

I am interested in sports and would like to volunteer as a coach or at an event
(Check all sports you may be interest in or have knowledge and experience)

Summer Games
Aquatics Athletics Basketball Gymnastics Power Lifting

Winter Games
Alpine Skiing Cross Country Skiing Snowshoeing Snowboarding

Fall Tournament Games
Bowling Cycling Equestrian Soccer

Summer Season
Golf Softball


I am interested in becoming involved in the organization in another way
Check all that apply
Fundraising Administrative Athlete Recruitment Leadership Training
Games Organization
Winter Games (February in Jackson)
Summer Games (May in Laramie)
Summer Sports (Golf in Douglas in July) (Softball in Casper in August)
Fall Tournament (October in Casper)
Area Games are held prior to state events around the state

PERSONAL HISTORY

A .I have/have not been involved in Special Olympics before? If so, how?

B. Please list any civic or service organizations you belong to:

C. How did you become interested in Special Olympics?

D. How and where have you been an athlete, coach or volunteer outside of Special Olympics?


Additional Information/Message: