Global Messenger Application

Athlete Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Date of birth*
MM
DD
YYYY
Polo shirt size*
Can athlete travel independently?*
Parent/Guardian Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Background Information
School*
List school involvement such as clubs, sports, honors, etc.*
Employer
List job responsibilities
Please provide a brief biographical sketch of the athlete*
(i.e.,interests outside of Special Olympics, hobbies, volunteer work, speaking experiences, residential situation, etc.). Include a brief statement of the athlete's history with Special Olympics (i.e., when he/she began participating, list sports they have competed in, National/International Games experience, any special recognition received). Be as thorough as possible.
Has the athlete ever had experience in: (Check all that apply)*
- leading the athlete oath
- speaking at committee or group meetings
- being a member of a self-advocacy organization
- being a spokesperson for Special Olympics (i.e., giving formal presentations at trainings, being interviewed by the media, being in a PSA or video, etc...)
What is the reading level of the athlete?*
Does the athlete use a wheelchair?
*For in-person training only*
- Yes
- No
Does the athlete have any specific dietary needs (Vegetarian, lactose intolerant, gluten free or other)?
*For in-person training only*
Information on person completing form
Same as athlete, parent or guardian information*
- Yes
- No
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email

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Global Messenger Application

Athlete Information

Parent/Guardian Information

Background Information

Information on person completing form

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