SPECIAL OLYMPICS ALABAMA ATHLETICS (T&F) COMPOSITE ENTRY FORM
Calhoun and Cleburne Counties
Local Coach/Contact Person:
School/Center:__________________________________________________
School Address:
County: _________________________
Coach Phone: Home:
Work:
Other:
Hours to be Contacted: _______________________________
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Please Remember
1. An Athlete May Enter Three Individual Events (preferably one running, one jumping and one throwing event)
2. Form Must Be COMPLETED IN FULL for Athletes to Qualify for Competition
3. Measure and Time All Athletes.
4. Distances Must Be Measured in Meters.
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ACTIVITY CODES
1 - 50 METER DASH
2 - 100 METER DASH
Social Security Number
3 - 4 X 100 RELAY RACE
4 - 25 METER WHEELCHAIR RACE
Last Name
First Name
5 - 30 METER WHEELCHAIR SLALOM
6 - STANDING LONG JUMP
Gender
Age
DOB
7 - LONG JUMP
8 - SOFTBALL THROW
Code
Time/Distance
Code
9 - SHOT PUT
10 – MOTOR ACTIVITIES(A)&(B)
Time/Distance
Code
Time/Distance