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Mid-Winter Tournament: Powerlifting Registration

Special Programs

Our Featured Partner

Meet our Partners

Step 1 of 32

3%

Delegation Name*
Delegation Manager (or main Powerlifting contact)*
First Last
Delegation Manager Email*
Delegation Manager Phone Number*
Other Phone Number

Save and Continue Later

Total Number of Athletes and Unified Partners*
1. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Killograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Killograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

2. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Killograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Killograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

3. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Killograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Killograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

4. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

5. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

6. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

7. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

8. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

9. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

10. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

11. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

12. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

13. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

14. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

15. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

16. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

17. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

18. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

19. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

20. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

21. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

22. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

23. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

24. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

25. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

26. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

27. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

28. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

29. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

30. Athlete Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Gender*
- Female
- Male
Role*
- Athlete
- Unified Partner
Unified Team Name
Please put same team name for both athlete and Unified Partner. Please make team names different for each pair.
Female Weight Class (in Kilograms)*
- 43kg
- 47kg
- 52kg
- 57kg
- 63kg
- 72kg
- 84kg
- 84+ kg
Male Weight Class (in Kilograms)*
- 53kg
- 59kg
- 66kg
- 74kg
- 83kg
- 93kg
- 105kg
- 120kg
- 120+ kg
Exact Weight (in Pounds)*
Sport Event One*
Max Lift*
Sport Event Two*
Max Lift

Save and Continue Later

Total Number of Coaches/Chaperones/1:1 Staff*
Coach/Chaperone Name*
First Last
Date of Birth (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (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 (MM/DD/YYYY)*
MM slash DD slash YYYY
Role*
- Head Coach
- Assistant Coach
- Chaperone
- Special Privilege Form (1 on 1 with Athlete)
All special privilege forms need to be emailed to registrations@soiowa.org

Save and Continue Later

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