Athlete | Basic Information

First Name: Phonetic First Name Pronunciation (Optional): Last Name: Phonetic Last Name Pronunciation (Optional): Birth Date: / / Gender:

Athlete | Demographic Information

Street Address / PO Box: Apartment / Unit / Suite: City: State: Zip Code: - Local County: Territory (Foreign) Country:

Athlete | Contact Information

Mobile / Cell Phone Number: Secondary Phone Number: Primary Email Address: Secondary Email Address: Please let us know your preferred method of contact:

Phone

Text

Athlete | Competitive Sport Demographics

Please select one or more of the following options to best describe your disability identity:

Spinal Cord

Deaf / Hard of Hearing

Blind / Low Vision

Skeletal Anomaly

Neuromuscular

Amputee

Athlete | Inclusive Demographics

Please select ALL of the following options that describe your ethnic identity:

Indigenous North American

Asian, Southeast Asian, or Asian American

Black, African, or African American

Hispanic or Latino

Middle Eastern, Mediterranean, or North African

Indigenous Hawai'ian or Pacific Islander

White or European

Other

Prefer Not to Say

If you answered "Other" above, please describe your preferred ethnic identify here: Do you identify as part of the LGBTQIA+ community?

Yes

Prefer Not to Say

Athlete | Legal Guardian

Do you have a Legal Guardian?

Yes

Legal Guardian's Name (First & Last): Legal Guardian's Primary Phone Number: Legal Guardian's Primary Email:

Athlete | Data Sharing Consent

For accountability purposes, we are occassionally required to share a limited data set (first name, last name, and zip code) of Bridge II Sports participants; may we share your information?

Yes

May we tag you on social media?

Yes

Athlete | Policy Acknowledgement

By checking this box you acknowledge that by completing this form you are registering for the Bridge II Sports' 2024 Boccia Season.

Yes

By checking this box you agree to abide by all Bridge II Sports policies governing participation in this event.

Yes

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