YA Registration Form Part A

Online application

  • Tell us about your child

  • MM slash DD slash YYYY
  • What is his/her disability? Is he/she verbal? What else should we know that will help our volunteers work with your child?
  • Is there anything else you would like to share with us?
    Please select the program location(s) where your family would like to participate.
  • This field is for validation purposes and should be left unchanged.

If you have any questions or comments about the Young Athletes Program, please contact us at YAPhilly@specialolympicspa.org.