SO Athletics Competition (Track and Field) Entry Form 2017

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Special Olympics Alabama

2017 Athletics Competition Entry Form (Page 1)


Part I - General Information

Coach/Teacher: School/Group Name:


Address:
Event: Lee County, AL Track & Field Games Telephone: Fax #:

Part II - Athlete Information

Last Name First Name Sex Age DOB Code* Time/Distance** Code* Time/Distance**

*See Page 3 for Event Codes & Page 2 for Relay Team Entries
** ALL Distances must be listed in Meters/Centimeters. Please denote minutes and seconds for timed events.
Special Olympics Alabama
2017 Athletics Competition Entry Form (Page 2)
Part III - Track & Field Relay Team

Name of Athlete Age DOB Sex

Total Team Time:

Name of Athlete Age DOB Sex

Total Team Time:

**Please remember: Special Olympics Athletes can participate in 2 events plus a relay event. A relay team can
consist of 4 Special Olympics Athletes OR 2 Special Olympics athletes and 2 athletes without intellectual disabilities,
also known as Special Olympics Unified Sports partners. For more information on Unified Sports partners, please
contact Dana Stewart, Director at 334-501-2939.
Special Olympics Alabama
2017 Athletics Competition Entry Form (Page 3)
Part IV - Event Codes

Code Event Code Event Code Event


2 100M Dash 7 400M Relay 13 Long Jump (Running)
3 200M Run 8 100M Race Walk 14 Shot Put▲
4 400M Run 9 400M Race Walk 16 Pentathalon
5 800M Run 10 800M Race Walk
6 1500M Run 12 High Jump

Lower Functioning Athletes Only: 1 50M Dash*


11 Standing Long Jump**
15 Softball Throw***

Wheelchair Events: 17 100M Wheelchair Race (Non-Motorized) 21 400M Wheelchair Race (Non-Motorized) 26 Wheelchair Shot Put♦
18 100M Wheelchair Race (Motorized) 22 400M Wheelchair Race (Motorized)
19 200M Wheelchair Race (Non-Motorized) 23 30M Wheelchair Slalom (Non-Motorized)
20 200M Wheelchair Race (Motorized) 24 30M Wheelchair Slalom (Motorized)

Severe Handicap Events: 27 10M Assisted Walk♥ 28 25M Walk 33 10M Wheelchair Race (Non-Motorized)
29 25M Assisted Walk♥ 30 50M Walk 34 10M Wheelchair Race (Motorized)
31 50M Assisted Walk♥ 35 25M Wheelchair Race (Non-Motorized)
36 25M Wheelchair Race (Motorized)
32 Ball Throw for Distance (Tennis Ball)****

* If an athlete runs the 50M Dash faster than 12 seconds, then he/she must compete in a different event, i.e. 100M Dash, 200M Dash, etc…
** If an athlete jumps a distance further than 1.25M (4.1 ft.), he/she must compete in a different event, i.e. running long jump, etc…
*** If an athlete throws the softball further than 25M (82 ft.), he/she must compete in a different event, i.e. shotput, etc…
**** If an athlete throws the tennis ball further than 6.5M (21 ft.), he/she must compete in a different event, i.e. softball throw, shotput, etc…
▲ Men (8-11 yrs. - 2.72 kg/6 lbs.); Men (12 & up - 4 kg/8.13 lbs.); Women (8-11 yrs. - 1.81 kg/4 lbs.); Women (12 & up - 2.72 kg/ 6 lbs.)
♦ Men (1.81 kg/4 lbs.); Women (1.81 kg/4 lbs.)
♥ Athletes must provide their own assisted devices. Assisted devices may consist of canes, crutches or walker.

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