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CoachZ ChaperoneZHometown EscortYYYYY Y , " AgeGroup;2 Athletics);(;$# Checklist;,/ Event;$# EventCode;$ EventCodes;0Events2);(;$0Events3);(;$! Housing; Level;  levell;  levels; Relay;,/$ TeamSports;" TeamType;$ TShirtSize; Type; Type;$ Wheelchair;"ZR3 A@@  .DOBLevel Cell Phone Email Address Event Code Team Sports Basketball Floor Hockey VolleyballSoftballSoccer0BBTEAM - Basketball Team Traditional CompetitionBBSKIL - Basketball Skills-BBTMUNC - Basketball Unified Competitive Team(BBTMUNM - Basketball Unified Mentor TeamFHSKIL - Floor Hockey Skills!FHTEAM - Floor Hockey TraditionalFHTMUN - Floor Hockey UnifiedVBSKIL - Volleyball Skills VBTMUN - Volleyball Unified Team$VBTEAM - Volleyball Team TraditionalSBSKIL - Softball SkillsSBTEAM - Softball TraditionalSBTMUN - Softball UnifiedSCINSK - Soccer Skills)SCFIVS - Soccer 5-A-Side Team Traditional2SCFVUNC - Soccer 5-A-Side Unified Competitive Team-SCFVUNM - Soccer 5-A-Side Unified Mentor Team*SCTEAM - Soccer 11-A-Side Team Traditional3SCTMUNC - Soccer 11-A-Side Unified Competitive Team.SCTMUNM - Soccer 11-A-Side Unified Mentor TeamTypeHigh - Division 1 or 2Medium - Division 3 or 4Low - Division 5 or 6Beginner - Division 7 Team Type TraditionalUnified%List of Athletes and Unified Partners Age Group8 - 128 - 1522 - end13-21Event 1Local Program Coordinator:M/F!Figure Skating Registration FormPairsSingles Unified Pairs Ice DancingUnified Ice Dancing1a 1b 1cCA/PEvent 2 W** Note: There is no restriction to the number of events an Athlete may register for. Local Program:Coach InformationFirst/Last NameCoachParticipant Counts Overnight *Required Street/CityZipEmail Assist. Coach ChaperoneHometown EscortEvent 3FThere is no limit to the number of events an Athlete may register for.FPlease save this document and email it to your Regional Program Staff:&Instructions for Registering PersonnelLocal Coordinator housing form.oPlease note on the personnel page those who are group home staff and which day/days they will be in attendance.pChaperone: Please list Chaperones with their current contact information on the personnel page and housing form. oAssistant Coach: Please list Assistant Coaches with their current contact information on the personnel page andSpecial Olympics ConnecticutRoster Appeal/ Scratch FormYRoster changes and participant scratches will be accepted up until TWO WEEKS prior to theVday of the event. Please refer to the Dates To Remember sheet for the exact deadline.dParticipants added to your delegation MUST have all necessary paperwork on file at the State Office. Delegation Name:1)2)3)4)5)6)7)Please add to this delegationNameEventTeam if applicable Date: Submitted By:,Please remove (scratch) from this delegation2012 Winter GamesAthlete Escort Survey Delegation:IThis is the person who is responsible for picking up the Athlete Escorts HPlease list all of the Athlete Escorts your delegation wishes to request4for the 2012 Winter Games. Please plan accordingly!!Apline Snowshoeing Cross CountryFigure Skating Speed SkatingUby defintion do not have to screened and cannot be alone at any time with an athlete.Class "B" Volunteers:R1. Have limited contact with athletes while accompanied by coaches and chaperones.2 No screening required.^3. Includes but not limited to Day of Volunteers, Athlete Escorts, Healthy Athlete Volunteers.a4. Must sign in at volunter registration as day of/ walk-in on sign-in sheet and present photo ID8(an adult can vouch for a minor on the day of the event)UPer SOI, Athlete Escorts by definition are Class "B" Volunteers. Class "B" Volunteers?Assistant Coach Chaperone AthletePartnerYesNoDue: February 8, 2012Local Coordinator:Email: Meal Counts Athletes Partners Personnel Counts Meal CountHometown Escorts'Forms are sent to your regional office.SOCT Southwest OfficeSOCT Eastern OfficeSOCT Northwest Office101 Merritt Blvd, Suite 10401 W. Thames St., Suite 1071459 South Britain Rd.Trumbull, CT 06611Norwich, CT 06360Southbury, CT 06488203.350.9990 Phone860.887.1555 Phone203.267.6566 Phone203.380.9991 Fax860.887.7435 Fax203.349.6570 Faxjenniferw@soct.org timc@soct.orgrebeccab@soct.org!For teams OUTSIDE of Connecticut:Special Olympics CT2666 State StreetSuite 1Hamden, CT 06517203.230.1201x239susanm@soct.orgFigure Skating RegistrationlAll of the individuals listed below are to have their Class A certifications including Protective Behaviors 3current before being registered for any SOCT event.fLocal Coordinators: Each Delegation (Local Program) is allotted space for two Local Coordinators (LC).aPlease list the LC responsible for overseeing the delegation at the event on the Checklist page. IThe Local Coordinators are not counted in the additional personnel ratio.ADDITIONAL PERSONNEL:VHead Coaches are not listed on the personnel page, but are listed on the housing form.Additional Personnel Ratio:$3 athletes to 1 Additional Personnel_1 athlete to 1 Additional Personnel for athletes who use a wheelchair or who are legally blind.mHometown Escorts: Please list Hometown Escorts on the Personnel Page. Hometown Escorts are individuals that qdelegations recruit to meet the team during the day. These individuals are not to be included in housing count, Lor the Additional Personnel count. Hometown Escorts do not stay overnight. Hometown Escort Ratio:2 athletes to 1 Hometown EscortkNo registration fees will be charged for Personnel provided the Athlete to Personnel Ratio is adhered to. nDelegations registering Additional Personnel and Hometown Escorts that exceed the ratios for what ever reason "will be charged $40.00 per person.uSpecial circumstances (such as behavioral issues, medical, etc.), may require that you bring Additional Personnel or nHometown Escorts for adequate supervision. These requests must be in writing and must be included with your registration packet. The LC will be notified if the request is granted and if there will be a cost associated with the request.rHead Coach: Please list the Head Coach for each sport with their current contact information on each roster page.  QPlease specify Junior vs/ Senior for those in your delegation with the same name.iList the day which a group home staff person (registered as a chaperone or hometown escort) will attend. 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