Summer Games. Athletics Registration Due: April 15, 2015

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1 2015 Summer Games thletics Registration Due: pril 15, 2015 Local Program: Local Coordinator: *Please count only those participants and personnel for thletics. Participant thlete Partner Meal Count Overnight Count Housing forms are ed to the Local Coordinator and submitted to: Time Trials Divisioning Summer Games Summer Games Personnel Local Coordinator Tournaments Meal Count Meal Count Overnight Count Coach ssistant Coach Chaperone Hometown Escort Forms are sent to: For information pertaining to thletics registration and competition Special Olympics CT please contact Sue Mohr 2666 State St., Suite x 239 Hamden, CT susanm@soct.org ttn:sue Mohr registration@soct.org

2 ll Local Programs must adhere to the following event category distribution process in order to ensure each athlete's full participation in the 2015 Summer Games. 1. thletes are restricted to participation within one category as outlined below. 2. n athlete may enter a maximum of four events, provided one is a relay. thletes may register for either running or walking events, softball or mini jav events. 3. thletes participating in running long jump events must be able to jump at least 1 meter, which is the minimum distance between the take-off board and the the sand pit. Category thletics Events Selection Category 1 Category 2 Category 3 Category 4 Category 5 ll Wheelchair events, ssisted Walks, 25M Walk, 50M Walk, Softball Throw, or Mini Jav 50M Run, 50M Walk, 100M Run, 100M Walk, Shot put events, Standing Long Jump Softball or Mini Jav. ll 4x100 Relays 100M Run, 100MWalk, 200M Run, 200M Walk, 400M Run, 400M Walk, Shot put events Softball or Mini Jav, Standing Long Jump, or Running Long Jump events, Pentathlon or Unified Pentathlon, all relays 400M Run, 400M Walk, 800M Run, 800M Walk, 1500M Run, 1500M Walk, Mini Jav Running Long Jump events, Shot put events, High Jump events, all relays 1500M, 3000M, 5000M Runs, Mini Jav, Shot put events, Running Long Jump events, High Jump events, all relays. Code Event Code Event T10W 10 Meter ssisted Walk T050M 50 Meter Dash T25W 25 Meter ssisted Walk T100M 100 Meter Run T25WK 25 Meter Walk T200M 200 Meter Run T50WK 50 Meter Walk T400M 400 Meter Run T100W 100 Meter Walk T800M 800 Meter Run T200W 200 Meter Walk T Meter Run T400W 400 Meter Walk T Meter Run T 800W 800 Meter Walk T Meter Run TUSWK 1500 Meter Unified Walk (2person) T4x1R 4x100 Meter Relay T4x1W 4x100 Meter Walk T4x1U 4x100 Meter Unified Relay T4x4R 4x400 Meter Unified Relay Code Event T25WH 25 Meter Wheelchair Race T30WS 30 Meter Wheelchair Slalom T1WSR 4x25 Meter Shuttle Wheelchair Relay T50MS 50 Meter Motorized Wheelchair Slalom TMWOR Motorized Wheelchair Obstacle Race T1CWH 100 Meter Wheelchair Race T2CWH 200 Meter Wheelchair Race Code Event Code Event TPENT Pentathlon TSP3M Shot put Men 8-11yrs UNPENT Unified Pentathlon TSP1M Shot put Men TSTLJ Standing Long Jump TSP4W Shot put Women 8-11yrs THIJP High Jump TSP2W Shot put Women TLNJP Running Long Jump TUNSP Unified Shot put UNLNJP Unified Running Long Jump TWSPM Wheelchair Shot Put Men TWSPW Wheelchair Shot Put Women TSOBT Softball Throw MINIJ-D Mini Jav

3 Local Program Name: First/Last Name thletics Registration Form Team events page Coach Information Home Phone Cell Phone ddress Street/City/Zip Note: thletes are restricted to participation within one category as outlined in the registration packet. Please list the team events on this page; unified or traditional relays, unified shot put, unified jumps or pentathlons. Category First/Last Name DOB M/F /P Event Time/Distance Event Time/Distance Team Name

4 Local Program Name: thletics Registration Form Team events page Coach Information First/Last Name Home Phone Cell Phone ddress Street/City/Zip Note: thletes are restricted to participation within one category as outlined in the registration packet. Please list the team events on this page; unified or traditional relays, unified shot put, unified jumps or pentathlons. Category First/Last Name DOB M/F /P Event Time/Distance Event Time/Distance Team Name

5 Local Program Name: thletics Registration Form Individual Registration Coach Information First/Last Name Home Phone Cell Phone ddress Street/City/Zip Note: thletes are restricted to participation within one category as outlined in the registration packet. Distance scores are to be measured in Meters Please list only athletes on this page. Team participants are to be listed on the Team Events Page. Category First/Last Name DOB M/F Event Time/Distance Event Time/Distance Event Time/Distance

6 Local Program Name: thletics Registration Form Individual Registration Coach Information First/Last Name Home Phone Cell Phone ddress Street/City/Zip Note: thletes are restricted to participation within one category as outlined in the registration packet. Distance scores are to be measured in Meters Please list only athletes on this page. Team participants are to be listed on the Team Events Page. Category First/Last Name DOB M/F Event Time/Distance Event Time/Distance Event Time/Distance

7 Instructions for Registering Personnel ll of the personnel listed below are to have their Class certifications current before being registered for any SOCT event. Programs may not register more Head Coaches, ssistant Coaches, Chaperones,and Hometown Escorts then the number of registered athletes. Local Coordinators:Each Delegation (Local Program) is allotted space for two Local Coordinators (LC). Please list the LC responsible for overseeing the event Checklist page. Registration fees do not apply to the two Local Coordinators Head Coach: Please list the Head Coach for each sport with their current contact information on each roster page. Head Coaches are not listed on the Personnel page, but are listed on the housing form. *See below for registration fee information. ssistant Coach: Please list ssistant Coaches with their current contact information on the personnel page and housing form. *See below for registration fee information. Chaperone: Please list Chaperones with their current contact information on the personnel page and housing form. *See below for registration fee information. Hometown Escorts: Please list Hometown Escorts on the Personnel Page. Hometown Escorts are individuals that delegations recruit to meet the team during the day. These individuals are not to be included in housing counts, nor to be put on the housing forms as they are not allowed to stay overnight. *See below for registration fee information. Registration fees: No registration fees will be charged for Personnel provided the thlete to Personnel Ratio is adhered to. The ratio is as follows: 1:1 thletes who use a wheelchair or athletes who are legally blind. 3:1 ll other athletes. Special circumstances (such as behavioral issues, medical, etc.), may require that you bring additional personnel for adequate supervision. These requests must be in writing and must be included with your registration packet. The LC will be notified if the request is granted. Please note on the personnel page those who are group home staff and which day/days they will be in attendance. ll others over the 3:1 ratio will be charged $175 that covers housing and meal expenses.

8 Local Program: First/Last Name Street/City Zip Type Days attending

9 Special Olympics Connecticut Roster ppeal / Scratch Form Roster changes and participant scratches will be accepted up until TWO WEEKS prior to the day of the event. Please refer to the Dates To Remember sheet for the exact deadline. Participants added to your delegation MUST have all necessary paperwork on file at the State Office. Delegation Please remove (scratch) from this delegation Name Please add to this delegation Name Event Team Name if applicable Date: Submitted by:

10 Special Olympics Connecticut 2015 Summer Games thlete Escort Survey Delegation: Name: This is the person responsible for picking up the thlete Escorts. Please list all of the thlete Escorts your delegation wishes to request for the 2015 Summer Games. Please plan accordingly!! Fri. June 6 Sat. June 7 Sun June 8 quatics thletics Cycling Soccer Tennis Per SOI, thlete Escorts by definition are Class "B" Volunteers. Class "B" Volunteers by defintion do not have to screened and cannot be alone at any time with an athlete. Class "B" Volunteers: 1. Have limited contact with athletes while accompanied by coaches and chaperones. 2 No screening required. 3. Includes but not limited to Day of Volunteers, thlete Escorts, Healthy thlete Volunteers. 4. Must sign in at volunter registration as day of/ walk-in on sign-in sheet and present photo ID (an adult can vouch for a minor on the day of the event)

11 Special Olympics Connecticut Explanation of bsence from Qualifier form bsence forms will be only accepted for the following reasons: 1. Illness with a doctor's note. 2. Religious reasons. This form must be received in the SOCT State Headquarters within 3 days after the event. Delegation Participant Name Qualifier missed Date Reason Coach Information Name Phone Qualifiers include: Unified and Traditional Cycling Spring Time Trials Unified and Traditional Softball Unified Basketball Unified Volleyball