Family Registration
Please PRINT All Information
Name of Athlete: ______________________________________________________________
Name of person completing form: _________________________________________________
Relationship to athlete:____________________________________
Address: _______________________________________________
City: ________________________ State: _____ Zip Code: ___________
Phone #’s Home: (____) ________________ Work: (____)___________________
E-Mail (please print clearly) ______________________________________________________
Check all that Athlete Athlete Athlete Athlete interested in
Apply Currently interested in Currently participating
Involved participating Involved
Aquatics Track/Field
Soccer Golf
Bocce Bowling
Skiing Equestrian
Basketball Cycling
Sailing
No athlete or family of a Special Olympics athlete is charged to participate in any training program or
competition event. And all uniforms, equipment and facilities which are needed in each sport are also
provided at no cost. It costs Special Olympics - Baltimore County approximately $50.00 per sport to train
each of our hard working athletes. The funds for this come entirely from private donations. Won’t you
please help us! Please make checks payable to SOMD- Baltimore County and mail to:
Donna Reid, Treasurer Special Olympics Maryland – Baltimore County 4401 Wilmar Ave.
Randallstown, MD 21133.
___ I would like to Adopt an Athlete. Please accept my donation of $ 50.00 to cover this cost.
___ I would like to Adopt a Team. Please accept my donation of $200.00 to help cover this cost.
___ I would like to make a donation in the amount of $ ________ to support Special Olympics
Maryland- Baltimore County.
___ I have a business/service and would like to make an in-kind donation. My business is
____________________and I can be reached at __________________________.
Were you once a volunteer with Special Olympics? A "hugger, perhaps"? Well, we still need volunteers
in lots of new roles, including: Coaches, and Assistant Coaches, Fundraising, Volunteers,
Merchandise/Candy Sellers, Volunteer Coordinator Assistant. Public Relations Assistant, Team Parents,
Athlete Training Assistant, and openings on our Management Team.
___ Please have the Special Olympics Baltimore County Coordinator contact me. I have circled
my areas of interest.
___ I would like information about our Special Olympics Maryland Family Committee.
Special Olympics Baltimore County (SOBA), P.O. Box 4333, Timonium, MD 21094