Athlete Leadership Program Workshop Registration Form

Special Olympics Ontario Community*

Athlete Name*

First Last

Athlete Date of Birth*

Athlete Phone #*

Athlete Email*

Enter Email Confirm Email

Which ALPs course are you attending?*

How many years has the athlete participated in SOO Programs*

Why are you interested in becoming an Athlete Leader?*

Do you require any assistance with reading and/or writing? If YES, please give a brief description of how we can best assist you during the workshop

Will you be bringing a mentor?*

Mentor Name

First Last

Mentor Email

Enter Email Confirm Email

Please outline any dietary restrictions for the athlete and/or mentor below. If no dietary restrictions are required, please simply state N/A*