Assumption College – Unified 4 Square Volleyball

Tuesdays, 7pm to 9pm. October 15th, 22nd, 29th. November 5th, 12th and 19th. At the Plourde Rec Center at Assumption College.

Assumption College will be hosting another unified intramural league - for this session, the sport will be 4 Square Volleyball. IMPORTANT - Interested Special Olympics athletes must be 18 years or older, and are required to have a valid Application for Participation (Medical Form) on file.

Name*
First Last
Date of Birth (must be 18 or older)*
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone #*
Parent/Guardian Name*
First Last
Parent/Guardian Phone #*
Email*
Local Program Name or School Name*
T Shirt Size*
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
CAPTCHA

Medical Form: https://www.specialolympicsma.org/wp-content/uploads/Application-for-Participation-3_17_21.pdf

What We Do

Assumption College – Unified 4 Square Volleyball

Tuesdays, 7pm to 9pm. October 15th, 22nd, 29th. November 5th, 12th and 19th. At the Plourde Rec Center at Assumption College.

Athlete Medical