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"0 "8 "8@ "8@ "8 " 8@ @ "0@ ) ) " ( *8  8@ @ " ! ! !  `R*Registration Checklistu; InformationKRoster (Individual)ZRoster (Relay Team)i Roster Appeal?~Additional Personnel1BAdditional Personnel25Athlete Escorts"Registration Checklist Delegation:Local Coordinator:Street: City/Zip:Phone:E-Mail:Participant Counts Athletes: Partners:Total Overnight Participants:Total Meal Count:)*Participant Fee for this sport is $40.00Additional Personnel Counts&Total Additional Overnight Personnel: &Total Additional Personnel Meal Count:>ATHLETE/COACH RATIO IS 3:1(WHEEL CHAIR ATHLETES ARE 1:1)  7 DAdditional coaches over the athlete/coach ratio will be charged $175Enclosed (Please Mark)Additional Personnel Form: Housing Form:Date Submitted: Submitted By:NameSPECIAL OLYMPICS CONNECTICUTTeam:RI am requesting that the following player(s) be added to the Official Team Roster:PLAYERI understand that changes to the Official Roster are made only in case of an emergency. The player change(s) I am requesting will:2Change the ability level of my team (Higher/Lower)'NOT Change the ability level of my team Date: Head Coach:?The following player(s) are to be removed from the Team Roster:ADDITIONAL PERSONNEL FORMLOCAL PROGRAM:ASSISTANT COACHESAddress CHAPERONES@*No Regisration Fees will be charged for Coaches. We will however adhere to the 3:1 Athlete/Coach Ratio and the 1:1 Wheel Chair Athlete/Coach Ratio. A special request must be made in writing to receive additional personnel at no extra charge. All others over the previously stated ratios are subject to a fee of $175.!ADDITIONAL PERSONNEL FORM (cont.)HOMETOWN ESCORTSHometown Escorts are individuals that you recruit who will be coming to meet your team during the day. These individuals are not to be including in your housing counts or on your housing forms as they are not allowed to stay overnight.Local Program:Address:M/FCross Country Skiing'CROSS COUNTRY SKIING ROSTER APPEAL FORMDOBEventLevel&Cross-Country Skiing Individual RosterA/P Team Name:Athlete Escort Survey Class  B volunteers:no screening required]includes but is not limited to Day-of volunteers, Athlete Escorts, Healthy Athlete volunteersHead of Delegation:cName of coach/chaperone who will pick up athlete escorts (if different from the Head of Delegation)Alpine Cross-Country SnowshoeingDATE Per SOI, Athlete Escorts by definition are Class  B Volunteers. Class  B volunteers by definition do not have to be screened and cannot be alone at any time with an athlete.@Ohave limited contact with athletes while accompanied by coaches and chaperonesmust sign-in at volunteer registration as day-of/walk-in on sign-in sheet and present photo ID (an adult can vouch for a minor on the day of the event)JNCross Country Roster(s)&Cross Country Skiing Relay Team RosterLPlease complete and return this form and return it with your registration. Hometown EscortsLocal CoordinatorCoaches Chaperones>All Unified Partners, Coaches, Chaperones and Hometown Escorts?are to have the Class A screening process, including Protective8Behaviors, completed prior to the registration due date.;All Athletes and Unified Partners are to have current formson file.*SOCT Northwest RegionSOCT Eastern RegionSOCT Southwest Region1459 South Britain Road401 West Thames St. Suite 107Southbury, CT 06488Norwich, CT 06360203.267.6566 Phone860.887.1555 Phone203.380.9990 Phone203.267.6570 Fax860.887.7435 Fax203.380.9991 FaxEVENTSKAthletes may register for two (2) individual events and one (1) relay event EVENT NAMELEVELCODE4/3NS50MR 100 Meter3/2NS100MNS25MR 500 Meter2/1NS500M 1 Kilometer1NS1KLM 3 KilometerNS3KLM4x1 K Unified RelayNS4x1K4x100M Unified Relay3/2/1NS41004x500M Unified RelayNS4500 25 Meter* 50 Meter* Phone/email2010 Winter Games101 Merritt Boulevard Suite 10morganr@soct.orgritaf@soct.orgjenniferw@soct.org~ROSTER APPEAL WILL BE ACCEPTED UP UNTIL TWO WEEKS PRIOR TO DAY OF THE EVENT. REFER TO DATES TO REMEMBER SHEET FOR EXACT DATE.S*Please plan accordingly when requesting athlete escorts for the 2010 Winter Games.~Please list the number of Athlete Escorts (Class  B Volunteers) your program wishes to request for the SOCT 2010 Winter Games! Due February 3, 2010IThis Registration Packet is due to your Regional Office* February 3, 2010Trumbull, CT 06611 YAnBo8e #G <$i $(%&1Q&~&'cc s  */79  dMbP?_*+%M\\exchange\hp4pro1?dXXLetter.HP LaserJet 4000 Series PCL 5e2Dxe.CQvC)"q/ (I5lͿ%!yOD ?E;8u01d-6h+J0Aq@{}_8Sơz|7zl?}1 H;&igFΔ(6[|nqN"dXX??U} I} I}  } m }  }  *   h h  ; , ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; gzgggg h.hhhh hhhhh i iii \\\\D\\\ __\\\\\\\ \\\\  \\\   \\\  \\\\  "" e eee""&  cc '  cc !"""""""# Z [[\\ e e\f!"""""""# b \\\$$$%  ] ]]] `G a( H) ^I ^cd !F"*"""""# Z[[[\\""#!"""""""# jeee\\""#!"""""""# Z[[[[[["# kllllll$% ___ _C__$ ___*D|l ((>>2>>(2R((((((( ;! ;" ;# ;$ ;% ;& ;' ;( ;) ; _ _*! 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