UMass Lowell Unified Intramural Soccer

UMass Lowell will be hosting a Unified Intramural Soccer program on Tuesdays from 6-7:00pm for athletes 18 years of age or older. UMass Lowell students will serve as Unified Partners for this program. The program runs from 9/13 to 10/18. Registration is on a first come, first served basis.

Name*
First Last
Date of Birth*
MM slash DD slash YYYY

Athletes must be 18+
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone #*
Parent/Guardian Name*
First Last
Parent/Guardian Phone #*
Email*
Have you completed the UMass Lowell waiver (click "complete waiver" below)?*
- Yes
- No
Complete waiver
Does Athlete have current SOMA Medical on file?*
- Yes
- No
Athlete Medical
If Athlete does not have valid medical on file, please complete one and submit to SOMA before the event. All athletes are required to complete this form in order to play. Forms can be downloaded at the link below. A doctor/PCP exam is required (forms are valid for three years from exam date - so it can be an old exam date used). Completed forms can be emailed to Ops@SpecialOlympicsMA.org
Medical Form
Download medical form
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UMass Lowell Unified Intramural Soccer

UMass Lowell Unified Intramural Soccer

Athlete Medical

Medical Form