United Athletics -- Assisted Athlete and Volunteer Registration

United Athletics strives to create an inclusive environment by pairing individuals who require physical assistance to participate in racing events with other local athletes, allowing these individuals and their families to experience the joys of racing.

This registration is for both athletes needing assistance and adult volunteers who are wish to aid these athletes. Please provide complete information so we can pair up teams for upcoming races - both road races and triathlons.

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* 1. Please provide complete information:

Assisted Athlete/Volunteer Name: *

T-Shirt Size: *

Assisted Athlete Height/Weight: *

Address:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number(s): *

Race Day Emergency Contact/Phone: *

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* 2. I am registering as:

Assisted Athlete (Person needing physical assistance to cross the finish line due to a disability.)

Volunteer Runner (Person willing to train with and push a running chair or run alongside or in front of assisted athlete.)

Volunteer Swimmer (Person willing to train with and pull via harness and raft an assisted athlete in an open water swim.)

Volunteer Cyclist (Person willing to train with and pull via bike trailer an assisted athlete.)

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* 3. Volunteer Runner: Approximate Mile Time

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* 4. Volunteer: Acknowledgement of Special Considerations Regarding Assisted Athletes. I understand that I will be assisting athletes with special needs (including but not limited to special healthcare needs/Intellectual disabilities/communication delays). As a result of these issues, I understand that my assisted athlete may not be able to communicate typically, and I will keep this issue in mind at all times. Therefore, I understand and agree that the assisted athlete’s health and safety will at all times be the first priority, and will be cognizant of this situation at all times. I understand that these are to be events where athletes are assisted to participate verses races where I am competing for personal gain.

Indicate acknowledgement with initials and date:

The following pages are separated by registration type: Assisted Athlete, Volunteer Runner/Swimmer/Cyclist. Please complete the pages as it pertains to your registration.