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Warning Text %XTableStyleMedium2PivotStyleLight16`Dl Checklist| Information4 Registration Relay Teams Event Codes"`Instructions for PersonnelhAdditional Personnel` Roster AppealAthlete EscortSheet1v For Office Use Only  BPROGRAMGYMNASTIRegistration Packetgymnastics web forms 11.xls Checklist Registration Event CodesInstructions for PersonnelAdditional Personnel Roster AppealAthlete Escort FormAbsenceHousingSheet1For Office Use OnlyEvent Information Check listYYYYYYYYYY Y Y Y   <CDocuments and SettingssusanmDesktopchecklist sheet.xls Checklist Registration Event CodesInstructions for PersonnelAdditional Personnel Roster AppealAthlete Escort FormAbsenceHousingEvent InformationSheet1For Office Use OnlyYYY)ZAT10AW 10M Asst WalkZAT25AW 25M Asst WalkZAT25WK 25M WalkZAT50WK 50M WalkZAT050M 50M DashZAT100W 100M WalkZAT100M 100M RunZAT200W 200M WalkZAT200M 200M RunZ AT400W 400M WalkZ AT400M 400M RunZ AT800W 800M WalkZ AT800M 800M RunZ AT15CW 1500M WalkZAT1500 1500M RunZATUSWK 1500 U WalkZAT4X1W 4x100 Walk RelayZAT4X1R 4x100 RelayZ"AT4X1U 4x100 Unified RelayZ"AT4X4R 4x400 Unified RelayZATPENT PentathlonZ!UNPENT Unified PentathlonZAT25WH 25M WheelchairZAT30WS 30M WheelchairZAT50MS 50M Motorized WCZAT1CWH 100M WheelchairZAT2CWH 200M WheelchairZ$ATMWOR Motorized WC ObstacleZAT1WSR 4x25 WC ShuttleZ!ATSTLJ Standing Long JumpZ ATLNJP Running Long JumpZUNHIJP High JumpZ ATSP3M Shotput Men 8-11Z!ATSP1M Shotput MenZ!"ATSP4W Shotput Women 8-11Z#ATSP2W Shotput WomenZ$ATUNSP Unified ShotputZ%ATWSPM WC Shotput MenZ&ATWSPW WC Shotput WomenZ'ATSOBT Softball ThrowZ(MINIJ-D Mini JavYYYYYYY Y Y  9PROGRAMALPINERegistration Packetweb Alpine forms.xls Checklist Information RegistrationRegistration (2) Event CodesInstructions for PersonnelAdditional Personnel Roster AppealAthlete EscortSheet1For Office Use OnlyYYYYYZ Assist. CoachZ ChaperoneZHometown EscortsYYYYY Y D " AgeGroup;2 Athletics);(;$# Checklist;,/ Event;&# EventCode;$ EventCodes;0Events2);(;$0Events3);(;$! Housing; Level;  levels; Relay;,/ Relay;,/$ TeamSports;" TeamType;$ TShirtSize;$ TShirtSize; Type; Type;$ Wheelchair;"rj03 A@@   /DOBLevel Cell Phone 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$VBTEAM - Volleyball Team TraditionalSBSKIL - Softball SkillsSBTEAM - Softball TraditionalSBTMUN - Softball UnifiedSCINSK - Soccer Skills)SCFIVS - Soccer 5-A-Side Team Traditional2SCFVUNC - Soccer 5-A-Side Unified Competitive Team-SCFVUNM - Soccer 5-A-Side Unified Mentor Team*SCTEAM - Soccer 11-A-Side Team Traditional3SCTMUNC - Soccer 11-A-Side Unified Competitive Team.SCTMUNM - Soccer 11-A-Side Unified Mentor TeamTypeHigh - Division 1 or 2Medium - Division 3 or 4Low - Division 5 or 6Beginner - Division 7 Team Type TraditionalUnified Age Group8 - 128 - 1522 - end13-21Event 1Event 2Local Program Coordinator:M/FEvent 3 50M Half Lap100M300M800MA/PSpeed Skating Registration FormLocal Program Name:Coach InformationCoachEmailFirst/Last Name  Street/City Chaperone Assist. CoachHometown Escort OvernightFirst/Last NameCategoryTimeList of participants10M Asst 800M U Relay 2000M U Relay25M Asst50M Asst 125M Relay200M500M1000M1500M U Sprint 25M S/away Relay Tm NameParticipant CountsfAll Local Programs must adhere to the following event category distribution process in order to ensure Category 1 Category 2 Category 3Speed Skating Events SelectionMAthletes may register for a maximum of three events, provided one is a relay.D10M/25M/50M/ Assisted, 25 Straightaway, 50M Half Lap, 125M Relay. **&100M/200M/300M and 800M Unified Relay.F300M/500M/800M/1000M, 1500M Unified Team Sprint and 200M Unified Relaym*** (Please note: An athlete can race in both assisted and unassisted races as long as the shortest Assisted LV[ckRace is longer than the longest unassisted race. For Example: an athlete in the 10M Assisted Race can not c`race in the 10M unassisted race, but a 25M assisted athlete can race in the 10M Unassisted Race.<?FPlease save this document and email it to your Regional Program Staff:Eastern Region: timc@soct.org$Southwest Region: jenniferw@soct.org1For Teams outside of Connecticut: susanm@soct.orgOAthletes are restricted to participation within one category as outlined below.&Instructions for Registering Personnel 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. Special 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 delegation:Event:Team Name if applicable Date: Submitted By:,Please remove (scratch) from this delegation2012 Winter GamesAthlete Escort SurveyCThis is the person 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!!Alpine Snowshoeing Cross CountrySpeed Skating Uby 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@Yes NoAssistant CoachLocal Coordinator Chaperone AthletePartnerDue: February 8, 2012Local Program:Local 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.orgSpeed Skating Registration6Please count only those participants for Speed Skating( lAll 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.oAssistant Coach: Please list Assistant Coaches with their current contact information on the personnel page andAdditional 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.  SaturdaySunday#Northwest Region: rebeccab@soct.org1Please list all of your relay teams on this page.Note: Athletes are restricted to one category as outlined in the Registration Packet. 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