School:

(Attach additional copies if needed)

Teacher:

Area 3 Special Olympics Bowling Registration

High School/Adults

October 29, 2009 (Deadline: 10/21/09)

Elementary/Middle

November 5, 2009 (Deadline: 10/28/09)

Dawn of Hope

November 12, 2009 (Deadline: 11/04/09)

Head Coach Name:

Phone (W)

(H)

Fax#:

# of Athletes:

# of Unified Players: _______________

**Please complete the following information and fax by the appropriate deadline to:

Area 3 Special Olympics - (866) 542-1860

Athlete Name

Unified Partner

DOB

Sex

Date of Medical

Date of Release

Score Game #1

Score Game #2

Bowling Shoe Size

**September 11 and September 18 are reserved bowling practice dates at Mountainview Lanes.  Please call 929-3441 to reserve a time and lane.

Please make sure each athlete wears a nametage & brings a lunch to the competition.