Athlete Information Sheet

Athlete First Name:

Athlete Last Name:

Athlete Date of Birth:

Athlete Gender:
Male

Female

Does your Athlete have Down Syndrome?
No

Yes

Does your Athlete use a Wheelchair?
No

Yes

Does your Athlete use Adaptive Equipment?
No

Yes

Caregiver Name:

Caregiver Email Address:

Caregiver Emergency Contact Phone Number:

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