Special Olympics Iowa

Competitions
Special Programs
Ways to Give
Get Involved
About Us
Donate

Team Soccer Entry Form

Special Programs

Our Featured Partner

Meet our Partners

Step 1 of 6

16%

Delegation Name*
Delegation Manager (or main Soccer contact)*
First Last
Delegation Manager Email*
Delegation Manager Phone Number*
Other Phone Number
Total Number of Soccer Teams (include both Unified and Traditional teams)*

Save and Continue Later

1. Team Name*
Type of Team*
- Traditional Team
- Unified Team
Is the team*
- Male
- Female
- Coed
Coach/Chaperone Name*
First Last
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
1. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Team Assessment Score*
Overall Rating (assessment score divided by 7)*
2. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Team Assessment Score*
Overall Rating (Assessment Score divided by 7)*
3. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
4. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
5. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
6. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
7. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
8. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
9. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
10. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
11. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
12. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
Overall Team Average*
Overall Team Average = add the overall rating for each individual player and divide by the total number of athletes listed.

Save and Continue Later

2. Team Name*
Type of Team*
- Traditional Team
- Unified Team
Is the team*
- Male
- Female
- Coed
Coach / Chaperone Name*
First Last
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach / Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach / Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
1. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
2. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
3. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
4. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
5. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
6. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
7. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
8. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
9. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
10. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
11. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
12. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
Overall Team Average*
Overall Team Average = add the overall rating for each individual player and divide by the total number of athletes listed.

Save and Continue Later

3. Team Name*
Type of Team*
- Traditional Team
- Unified Team
Is the team*
- Male
- Female
- Coed
Coach/Chaperone Name*
First Last
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
1. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
2. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
3. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athletes
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
4. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
5. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
6. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
7. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
8. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
9. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
10. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
11. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
12. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
Overall Team Average*
Overall Team Average = add the overall rating for each individual player and divide by the total number of athletes listed.

Save and Continue Later

4. Team Name*
Type of Team*
- Traditional Team
- Unified Team
Is the team*
- Male
- Female
- Coed
Coach/Chaperone Name*
First Last
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
1. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
2. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
3. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
4. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
5. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
6. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
7. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
8. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
9. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
10. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
11. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
12. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
Overall Team Average*
Overall Team Average = add the overall rating for each individual player and divide by the total number of athletes listed.

Save and Continue Later

5. Team Name*
Type of Team*
- Traditional Team
- Unified Team
Is the team*
- Male
- Female
- Coed
Coach/Chaperone Name*
First Last
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
Coach/Chaperone Name
First Last
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Role
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org
1. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
2. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
3. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
4. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Role*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
5. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
6. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Athlete
- Unified Partner
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
7. Athlete Name*
First Last
Gender*
- Male
- Female
Date of Birth (DD/MM/YYYY)*
MM slash DD slash YYYY
Title*
- Male
- Female
Total Soccer Assessment Score*
Overall Rating (Assessment Score divided by 7)*
8. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
9. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
10. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
11. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
12. Athlete Name
First Last
Gender
- Male
- Female
Date of Birth (DD/MM/YYYY)
MM slash DD slash YYYY
Title
- Athlete
- Unified Partner
Total Soccer Assessment Score
Overall Rating (Assessment Score divided by 7)
Overall Team Average*
Overall Team Average = add the overall rating for each individual player and divide by the total number of athletes listed.

Save and Continue Later

Facebook
Instagram
YouTube

Participate
Volunteer
Support
Donate
Privacy Policy

551 SE Dovetail Road
PO Box 620
Grimes, IA 50111
P: 515-986-5520
F: 515-259-6013