Program / School Name: _______________________________________ Part 2: Program Participation Mark each sport/ program your delegation plans to participate in or would like information on: Aquatics Snowboarding Athletics Softball Snowshoeing Kayaking Bocce Cross Country Skiing Volleyball Golf Skating Powerlifting Bowling Figure Skating Tennis Soccer Basketball Equestrian Floorball Cheerleading Young Athletes Alpine Skiing Flag Football I would like to receive information on area events. Mark each program activity your delegation to participate in: Leadership- Unified Clubs Other/please explain: ______________________________________ Unified Activities Spread the Word to End the Word Campaign Minutes that Matter – Fan in the Stands Community based events Sports Expo / Field Day Healthy LEAP (Health Education) Other: ____________________________________________________________ School Based delegations only: Unified Sports Adaptive PE Curriculum Unified Sports through Arizona Interscholastic Association (AIA) Unified Activity (dance/ School Assembly) Other: ________________________________________________ Please provide a brief description of fun activities or other creative ideas you might have during the year: If possible please follow up with a planned date and location of events or a summary of the activity. Include pictures and any links which highlighted the activity. School Based delegations only: Unified Strategies for Schools Department of Education funding request: Examples Transportation for Special Olympics – events, Equipment, Uniforms, Teacher funded project, Student funded Project If you are a school based delegation please contact your Area Director for levels of support. River Area Director, Lisa Ball Mountain & Monument Area Director, Jamie Heckerman
Program / School Name: _______________________________________ Part 2: Program Participation Mark each sport/ program your delegation plans to participate in or would like information on: Aquatics Softball Bocce Golf Bowling Soccer Floorball Alpine Skiing Snowboarding Snowshoeing Cross Country Skiing Skating Figure Skating Basketball Cheerleading Flag Football Athletics Kayaking Volleyball Powerlifting Tennis Equestrian Young Athletes I would like to receive information on area events. Mark each program activity your delegation to participate in: Leadership- Unified Clubs Other/please explain: ______________________________________ Unified Activities – Spread the Word to End the Word Campaign Minutes that Matter Fan in the Stands Community based events Sports Expo / Field Day Healthy LEAP (Health Education) Other: ____________________________________________________________ School Based delegations only: Unified Sports Adaptive PE Curriculum Unified Sports through Arizona Interscholastic Association (AIA) Unified Activity (dance/ School Assembly) Other: ________________________________________________ Please provide a brief description of fun activities or other creative ideas you might have during the year: If possible please follow up with a planned date and location of events or a summary of the activity. Include pictures and any links which highlighted the activity. School Based delegations only: Unified Strategies for Schools Department of Education funding request: Examples – Transportation for Special Olympics events, Equipment, Uniforms, Teacher funded project, Student funded Project If you are a school based delegation please contact your Area Director for levels of support. River Area Director, Lisa Ball Mountain & Monument Area Director, Jamie Heckerman
2016-2017%20Program%20Application.docx