Special Olympics Indiana Athlete Medical Form. (to be completed by the athlete or parent/guardian/caregiver and brought to exam) athlete first & last name:________________________________________ preferred name:_________________________ athlete date of birth. Athlete registration form athlete information first name:
To access the forms, contact your county coordinator. There is no requirement to use this form for local registration at this time, but we are exploring strategies to have programs using the medical form for all registering athletes participating in local special olympics sport activities by 2020.
In Order To Submit This Application You Will Be Asked To Upload A Copy Of Your Physical Exam That Has Been Completed And Signed By A Licensed Physician/Medical Provider, Is Dated And Gives The Athlete Permission To Participate In Sports/Special Olympics.
Athlete registration and medical form.
Revisions Are In Red Below.
Edit right area text content.
The Forms On This Page Are For Special Olympics Program Staff To Use In Welcoming Participants To Special Olympics Young Athletes.
Images References :
The Forms On This Page Are For Special Olympics Program Staff To Use In Welcoming Participants To Special Olympics Young Athletes.
To access the forms, contact your county coordinator.
The Registration And Health History Forms Are Completed Online, And The Physical Examination Form Must Be Completed And Signed By A Licensed Medical Professional.
Sharing my personal information with (i) researchers, business partners, public health agencies, and other organizations that are studying intellectual disabilities and the impact of special olympics activities, (ii) medical professionals in an emergency, and (iii) government authorities for the purpose of assisting me with any visas required for.