New Athlete Interest Form

We are excited to have you join Special Olympics Nebraska! Once you have completed the Interest Form follow the link that is provided to download the athlete medical. This is the final form you will need to submit in order to join Special Olympics Nebraska.

Athlete First Name:*

Athlete Last Name:*

Date of Birth*

*Must be 8+ years to become an athlete

Gender:*

Select or enter value

Race/Ethnicity:*

Select or enter value

Address:*

Phone Number:*

Phone

Email Address:

Preferred Sports:

Alpine Skiing

Basketball

Bocce

Bowling

Cross Country Skiing

Equestrian

Flag Football

Floor Hockey

Golf

Gymnastics

Powerlifting

Roller Skating

Soccer

Softball

Swimming

Tennis

Track & Field

Volleyball

Parent/Guardian Information

Parent/Guardian Name

*Please fill out all guardian information if the athlete is under the age of 19 or is legally under the care of a guardian.

Guardian Phone & Email Is Same As Listed Above

Guardian Email:

Guardian Phone Number:

Phone

Upload Signed Code of Conduct and Release Form

To get the paperwork process started upload the Athlete Code of Conduct and Release Form's from the previous page.

File Upload

Drag and drop files here or

Send me a copy of my responses

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