2023 Special Olympics Maine: Penobscot, Piscataquis & Hancock Area  4x25 Traditional Relay                                          
Event Date: March 10, 2023. Registration due by February 16, 2023
Location: Bangor YMCA
Event Chair: Mindy Flewelling

To register Athletes in your delegation for the Traditional 4x25 Freestyle Relay, complete the form below.  Do not use this form for Unified Team Relays. This registration form will allow you to register 5 Teams at a time.  Delegations with more then 5 teams will be required to resubmit this form again (there will be a link to "Submit another Response" once you submit this form).  Delegations are required to provide a qualifying score for each team.  Qualifying scores should be obtained by completing the required training and will be used to properly division teams by age and ability.
 
You will need the following information to complete this registration process:
       o HOD Name/Email
       o Team/s with 4 Athletes
       o      Athlete: Gender, Date of Birth
       o Each Team is REQUIRED to submit a qualifying score

At anytime during this process you can always select the "Back" button (bottom of the form, to the left of the "Next" button) to go back and review/edit the data that you completed prior to your current section.  Once this form is completed entirely and submitted (click "Submit" on the last section) the HOD will receive an email (to the email provided) with a PDF confirmation of what was submitted.  Changes to what your Delegation submitted can be made up until 2 weeks prior to the event, the sooner the better! Please Email Christina Ehrhard, tina.specialo@gmail.com, with changes.

Athletes must have a current Athlete Medical, Consent/Release and Communicable Disease Waiver on file with SOMaine prior to March 10th in order to be properly registered for this event.  To check on your athletes medical and consent information contact Mike Littlefield, at MikeL@somaine.org.  Blank Athlete Medical and Release forms can be downloaded from the State Website at www.somaine.org/sports/athlete-resources/.   Medicals remain current for three years and the release and waiver are good forever (or until updated).  
Sign in to Google to save your progress. Learn more
Delegation *
Head of Delegation Name *
Head of Delegation Email *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Special Olympics Maine. Report Abuse