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Get OK Special Olympics Application for Participation

ON Partner Name Team Name Female Male Partner's Age Date of Birth (mm/dd/yyyy) Address City Home Phone Email Zip Parent/Guardian Name Parent/Guardian Phone: Wk. Cell Emergency Contact Phone Health Insurance Co. Policy # SPECIAL OLYMPICS RELEASE & WAIVER OF LIABILITY In consideration of participating in Special Olympics Unified Sports®, I represent that I understand the nature of the event & that I (&/or my minor child) am/are/is qualified, in good health & in proper physical co.

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