Special Olympics Iowa Area Bowling Roster Delegation Name (local program)____________________________________________________ Area (North, East, etc.)______________________ Bowling Head Coach _______________________________________ E-mail Address___________________________________________________ Cell Number______________________________________ and / or Other Phone Number ______________________________________ Total # of Singles Bowlers _____ Total # of Doubles Bowlers _____ Total # of Team Bowlers _____ Total # of Coaches/Chaperones/1:1 Staff _____ Athlete or Unified Partner’s Gender D.O.B If If Bowler If Does If If Ramp Single Doubles, Team and/or Average √ √ √ √ √ Uses Not Use Ramp Unassisted Name Unified Unified - Name Wheelchair Ramp Assisted Partner Notes: Ramp Assisted - Bowler needs assistance with positioning the ramp as well as with placing the ball on the ramp Ramp Unassisted - Bowler needs assistance putting the ball on the ramp, but positions the ramp themselves Average - Please list the average for this bowler based on a minimum of 10 games Please return this form to your AREA DIRECTOR by the appropriate registration deadline D.O.B. Date of Birth (MM/DD/YY) –
Special Olympics Iowa Area Bowling Roster Delegation Name (local program)____________________________________________________ Area (North, East, etc.)______________________ Bowling Head Coach _______________________________________ E-mail Address___________________________________________________ Cell Number______________________________________ and / or Other Phone Number ______________________________________ Total # of Singles Bowlers _____ Total # of Doubles Bowlers _____ Total # of Team Bowlers _____ Total # of Coaches/Chaperones/1:1 Staff _____ Athlete or Unified Partner’s Name Gender D.O.B √ If Unified Partner √ If Bowler Uses Wheelchair √ If Does Not Use Ramp √ If Ramp Assisted √ If Ramp Unassisted Single Doubles, Team and/or Unified - Name Average Notes: Ramp Assisted - Bowler needs assistance with positioning the ramp as well as with placing the ball on the ramp Ramp Unassisted - Bowler needs assistance putting the ball on the ramp, but positions the ramp themselves Average - Please list the average for this bowler based on a minimum of 10 games Please return this form to your AREA DIRECTOR by the appropriate registration deadline D.O.B. – Date of Birth (MM/DD/YY)
bowling-entry-form2.docx