Contact Us Form

What are you interested in?*

Healthy LEAP (Lifestyle Education And Practice)
Healthy Athletes (Free Health Screenings)
Fitness & Wellness
Fitness Captain Program
Joining the SOCO Health Provider Resource List
Other

If you are interested in becoming a fitness coach or a volunteer, please check "Becoming a coach," or "Becoming a volunteer, in the above question.

If "Other," please describe:*

CLICK HERE TO APPLY FOR AN INTERNSHIP

What internship position are you interested in?*

Data Intern
Denver Region Intern
Northeast Intern
Fitness, Health, & Wellness Intern
Southeast Intern
Other

If "Other," please describe:*

Your Name*

First Last

Your Email*

Enter Email Confirm Email

Your Phone*

Please provide the best number to contact you during business hours.

Are you the athlete?*

Yes
No

Are you the Unified Partner?*

Yes
No

Are you the Coach?*

Yes
No

Are you the Volunteer?*

Yes
No

Athlete Name*

Athlete First Name Athlete Last Name

Unified Partner Name*

Unified Partner First Name Unified Partner Last Name

Coach Name*

Coach First Name Coach Last Name

Volunteer Name*

Volunteer First Name Volunteer Last Name

How old are you?*

2 - 7 Years Old
8 - 17 Years Old
18 and Older

How old is the person you are filling this form out for?*

2 - 7 Years Old
8 - 17 Years Old
18 and Older

Birthdate of Athlete*

HIDDEN Your Address*

Street Address Apt, Unit, # City State ZIP Code

Medical Practice Address*

You selected that you would like to join our Health Provider Resource List, if this is untrue, please uncheck the box in the very first question.

Street Address Apt, Unit, # City State ZIP Code

HIDDEN What is the person's address who you are filling out this form for?*

Street Address Apt, Unit, # City State ZIP Code

I am interested in: (Check all that apply)

Fundraising
Making a Donation

What type of fundraising are you interested in?*

I would like to fundraise for a SOCO team(s) or local program
I would like to fundraise at a school
I have a fundraising idea, please contact me
I don't know, but I would like to help
Other

Please note that by checking more than one item, you may be contacted more than once by different SOCO staff.

If "Other," please describe:*

City*

County of Residence/Location (for athlete, Unified Partner, coach, volunteer...)*

If "Other," please describe:*

The County you selected is in the Denver Region. Is this the Region you, or the person you are filling out this form for, would like to participate in?*

Yes
No

The County you selected is in the Northeast Region. Is this the Region you, or the person you are filling out this form for, would like to participate in?*

Yes
No

The County you selected is in the Southeast Region. Is this the Region you, or the person you are filling out this for for, would like to participate in?*

Yes
No

The County you selected is in the Western Region. Is this the Region you, or the person you are filling out this form for, would like to participate in?*

Yes
No

Please choose the region where you, or the person you are filling out this form for, would like to participate. Need help finding a region? Visit: https://www.specialolympicsco.org/athletes-and-families/regions*

Denver Region
Northeast Region
Southeast Region
Western Region

Are you the preferred point of contact for this inquiry?*

Yes (please contact me)
No (please contact the person I am filling out this form for)

Are you the preferred point of contact for this inquiry?*

Yes (please contact me)
No (please contact the person I am filling out this form for)

Are you the preferred point of contact for this inquiry?*

Yes (please contact me)
No (please contact the person I am filling out this form for)

Are you the preferred point of contact for this inquiry?*

Yes (please contact me)
No (please contact the person I am filling out this form for)

Do you have the same email address as the person you are filling out this form for?*

Yes
No

What is the email address for the person you are filling out this form for?*

Enter Email Confirm Email

Do you have the same phone number as the person you are filling out this form for?*

Yes
No

What is the phone number for the person you are filling out this form for?*

Are you a family member/caregiver of a Special Olympics Colorado athlete(s)?*

Yes
No

Please tell us about your Special Olympics Athlete(s)

Please tell us the name(s) of the athlete(s):*

Athlete First Name	Athlete Last Name	Date of Birth

To enter additional athletes, please click the plus (+) sign.

What is your relationship with the athlete(s)?

If "Other," please describe:*

Is (are) the athlete(s) in school?*

Yes
No

School(s)*

Do you know the athlete(s)'s team?*

Yes
No

Please tell us the team & coach:*

Team	Coach

To enter additional teams, please click the plus (+) sign.

Do you know what region the athlete(s) participates?*

Yes
No

Athlete(s)'s region:*

Are you a student?*

Yes
No

Is the person you are filling out this form for a student?*

Yes
No

Do you work for a school (e.g., teacher, counselor, administator, bus driver)?*

Yes
No

Does the person you are filling out this form for work at a school (e.g., teacher, counselor, administrator, bus driver)?*

Yes
No

School*

If the person has graduated, please write "Graduated."

If available, would you, or the person you are filling out the form for, like to participate at Special Olympics at your school?*

Yes
No

Please indicate area of interest (check all that apply):*

Traditional Special Olympics Sports Programs (ages 8+)
Unified Sports Programs (inclusive with all intellectual abilities)
Motor Activities Training Program (for athletes with severe or profound needs)
Athlete Leadership Program (ALPs)
School-Based Teams
Community-Based Teams

Please note that if you check multiple boxes, you may be contacted by more than one SOCO staff in order to answer the items you checked. If you are interested in "Young Athletes (ages 2-7)," please check the "2-7 Years Old" in the above question.

Please indicate the sports interested in (check all that apply):*

If "Other," please describe:*

Please note: Special Olympics Colorado may not offer the sport you have indicated.

Any coaching experience?*

Yes
No

Any experience with individuals with diverse intellectual abilities?*

Yes
No

Please describe your experience (number of years, level, sports, services...)*

Desired Coaching Position (check all that apply)*

Head Coach
Assistant Coach
Fitness Coach
Other

If "Other," please describe:*

Level Interested in Coaching (check all that apply)*

Young Athletes (ages 2-7)
Junior Athletes (ages 8-13)
Youth Athletes (ages 14-21)
Adult Athletes (ages 22+)
Traditional Special Olympic Teams
Unified Teams (inclusive with all intellectual abilities)
Other

If "Other," please describe:*

Do you have a Special Olympics Colorado team?*

Yes
No

Do you have a Special Olympics Colorado team?*

Yes
No

Does the person you are filling out this form for have a Special Olympics Colorado team?*

Yes
No

Does the person you are filling out this form for have a Special Olympics Colorado team?*

Yes
No

Please tell us the team & coach:*

Team	Coach

To enter additional teams, please click the plus (+) sign.

Do you, or the person you are filling out the form for, have an athlete/athletes you intend to coach?*

Yes
No

Do you, or the person you are filling out the form for, have an athlete/athletes you intend to coach?*

Yes
No

Please tell us the name(s) of the athlete(s):*

Athlete First Name	Athlete Last Name	Athlete Date of Birth

To enter additional athletes, please click the plus (+) sign.

Are you, or the person you are filling out this form for, currently involved with Special Olympics Colorado?*

Yes
No

How are you, or the person you are filling out the form for, involved?*

Have you, or the person you are filling out this form for, completed a Class A Application and background check through Special Olympics Colorado?*

Yes
No

Have you, or the person you are filling out this form for, completed an Athlete Application for Special Olympics Colorado?*

Yes
No

Do you, or the person you are filling out this form for, prefer to volunteer on...*

Work Days (Monday-Friday)
Weekends (Saturday & Sunday)
Any Day of the Week (Monday-Sunday)

VOLUNTEER HIDDEN Do you have an employer?*

Yes
No

VOLUNTEER HIDDEN Do you have an employer?*

Yes
No

VOLUNTEER HIDDEN Do you have an employer?*

Yes
No

VOLUNTEER HIDDEN Do you have an employer?*

Yes
No

VOLUNTEER INQUIRY HIDDEN Do you receive time off for volunteering?*

Yes
No
I don't know

VOLUNTEER INQUIRY HIDDEN Does your company pay for volunteer hours?*

Yes
No
I don't know

What type of donation would you like to make?*

Money
Product (e.g., food, supplies, sports equipment)
In-Kind
Other

If "Other," please describe:*

I am interested in:*

Participating in an event
Becoming a vendor
Sponsoring an event
Other

If "Other," please describe:*

Please tell us the name of the Company/Business/Practice/Community Group.*

Who should we contact?*

Contact First Name Contact Last Name

Who should we contact at the school?*

Contact First Name Contact Last Name

Who should we contact about Healthy Leap?*

Contact First Name Contact Last Name

Company/Business/Practice/Community Group Contact Phone*

What is the phone number you would like us to call about Healthy Leap?*

School Contact Phone*

Size of Volunteer Group

Do you have a specific date/time you would like to volunteer?*

Yes
No

Please select the day you would like to volunteer.*

What is your health provider speciality?*

You indicated that you, or the person you are filling out this form for, are a family member/caregiver of an athlete. Are you interested in information about our family services?*

Yes
No

What information & family services are you interested in?*

Why are you, or the person you are filling out the form for, interested in Special Olympics?*

Please let us know how we can help you or any other additional information.

Have you been in contact with anyone from Special Olympics?*

Yes
No

Who have you been in contact with?*

Please note: You must be at least 16 years old to become a coach for Special Olympics Colorado.

Phone

This field is for validation purposes and should be left unchanged.

Step 1 of 3

Please note: Skipping around may result in deleting questions you have already answered. In addition, the more items you select for "help," may result in multiple SOCO staff contacting you to ensure we address your needs completely.

Please tell us about your Special Olympics Athlete(s)

Please note: You must be at least 16 years old to become a coach for Special Olympics Colorado.

Please note: You must be at least 16 years old to become a coach for Special Olympics Colorado.

Please note: You must be at least 16 years old to become a coach for Special Olympics Colorado.

Please note: You must be at least 16 years old to become a coach for Special Olympics Colorado.