2009 LOCAL QUALIFYING EVENT APPLICATION FORM

Apply to host a U.S. Jr. Olympic Skills Competition between January 1ST and May 14TH to provide youngsters ages 8 – 13 a FREE opportunity to display skills in four Olympic sports – Basketball, Soccer, Tennis, and Track & Field. Please fax, mail or email this Application Form to the Jr. Olympic Skills Headquarters listed below.

Jr. Olympic Skills Headquarters
4015 Wetherburn Way Norcross, GA 30092
HQ Fax: (770) 641-7596
HQ Phone (770) 641-5096
HQ Email: joskills@usoc.org

The fields indicated with an asterisk* are required to complete this application; other fields are optional. If you do not want to provide us with the required information, please use the Back button on your browser to return to the previous page, or close the window or browser session that is displaying this page.
REGISTRANT INFORMATION
Organization*
First Name, Last Name*
Mailing Address (No PO Boxes) *
City *
State/Province *
Postal/Zip Code *
Work Phone Number * (999-999-9999)
Alternate Phone Number (999-999-9999)
Fax Number (999-999-9999)
E-mail Address *

Competition Information
Date, Time & Location are not necessary at this time. You MUST check the sport(s) you are interested in hosting.


Please check this box if you are interested in hosting a Regional Competition. In order to be considered, you must host all four (4) skills at the Local Qualifying Event and be able to host all four (4) skills at ONE facility for a Regional Competition. Jr. Olympic Skills Headquarters will contact you if you are selected.
Please check this box if you would NOT like your email and phone number included on our website at www.jrolympicskills.com. Host organization name, city, state, zip and sports to be hosted will be posted under “Listing of Local Qualifying Events”.