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Special Olympics Alabama<br />
<strong>2012</strong> Athletics Competition <strong>Entry</strong> <strong>Form</strong> (Page 1)<br />
Part I - General Information<br />
Coach/Teacher:<br />
School/Group Name:<br />
Address:<br />
Event: Lee County, AL <strong>Track</strong> & <strong>Field</strong> Games Telephone: Fax #:<br />
Part II - Athlete Information<br />
Social Security # Last Name First Name Age Sex DOB Code* Time/Distance Code Time/Distance<br />
*See Page 3 for Event Codes & Page 2 for Relay Team Entries
Name of Athlete Sex DOB Age<br />
Special Olympics Alabama<br />
<strong>2012</strong> Athletics Competition <strong>Entry</strong> <strong>Form</strong> (Page 2)<br />
Part III - <strong>Track</strong> & <strong>Field</strong> Relay Team<br />
Total Team Time:<br />
Name of Athlete Sex DOB Age<br />
Total Team Time:<br />
**Please remember: Special Olympics Athletes can participate in 2 events plus a relay event. A relay team can<br />
consist of 4 Special Olympics Athletes OR 2 Special Olympics athletes and 2 athletes without intellectual disabilities,<br />
also known as Special Olympics Unified Sports partners. For more information on Unified Sports partners, please<br />
contact Dana Stewart, Co-County Director at 334-501-2930.
Special Olympics Alabama<br />
<strong>2012</strong> Athletics Competition <strong>Entry</strong> <strong>Form</strong> (Page 3)<br />
Part IV - Event Codes<br />
Code Event<br />
Code Event Code Event<br />
2 100M Dash<br />
7 400M Relay<br />
13 Long Jump (Running)<br />
3 200M Run<br />
8 100M Race Walk<br />
14 Shot Put▲<br />
4 400M Run<br />
9 400M Race Walk<br />
16 Pentathalon<br />
5 800M Run<br />
10 800M Race Walk<br />
6 1500M Run<br />
12 High Jump<br />
Lower Functioning Athletes Only:<br />
1<br />
11<br />
15<br />
50M Dash*<br />
Standing Long Jump**<br />
Softball Throw***<br />
Wheelchair Events:<br />
17 100M Wheelchair Race (Non-Motorized) 21 400M Wheelchair Race (Non-Motorized) 26<br />
18 100M Wheelchair Race (Motorized) 22 400M Wheelchair Race (Motorized)<br />
19 200M Wheelchair Race (Non-Motorized) 23 30M Wheelchair Slalom (Non-Motorized)<br />
20 200M Wheelchair Race (Motorized)<br />
24 30M Wheelchair Slalom (Motorized)<br />
Wheelchair Shot Put♦<br />
Severe Handicap Events:<br />
27 10M Assisted Walk♥<br />
28 25M Walk 33 10M Wheelchair Race (Non-Motorized)<br />
29 25M Assisted Walk♥<br />
30 50M Walk 34 10M Wheelchair Race (Motorized)<br />
31 50M Assisted Walk♥<br />
35 25M Wheelchair Race (Non-Motorized)<br />
36 25M Wheelchair Race (Motorized)<br />
32 Ball Throw for Distance (Tennis Ball)****<br />
* 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…<br />
** If an athlete jumps a distance further than 1.25M (5 ft.), he/she must compete in a different event, i.e. running long jump, etc…<br />
*** If an athlete throws the softball further than 25M (82 ft.), he/she must compete in a different event, i.e. shotput, etc…<br />
**** 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…<br />
▲ 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.)<br />
♦ Men (1.81 kg/4 lbs.); Women (1.81 kg/4 lbs.)<br />
♥ Athletes must provide their own assisted devices. Assisted devices may consist of canes, crutches or walker.
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