321 Fit Event Registration

Registration Details

I am a :

Parent/Caregiver/Family MemberSelf-advocate (I am adult registering myself)Casemanager or Supporter of a Person with ID/DDMedical, Health, or Fitness ProfessionalEducatorVolunteer

Your First Name

Your Last Name

Your Email

City of Residence

County of Residence

State

School, Organization, or Business Affiliation (if applicable):

How many people attending in your family or party?

Names of self-advocate(s)/athlete(s) you are supporting:

Age of self-advocate(s)/athlete(s) you are supporting:

T-shirt size of self-advocate, person, or athlete you are supporting (t-shirts will be free for these individuals):

Youth XSYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XXLNo shirt, please

Dietary Restrictions

Complimentary snacks will be provided at this event with some accommodations. Please indicate if there are the following dietary restrictions.

Peanut allergyGluten-freeNon-dairy

Other Information

How did hear about the 321 Fit Event (select all that apply):

Down Syndrome Innovations email or social mediaSpecial Olympics email or social mediaUniversity of Kansas Health System email or social mediaJohnson County Community College email or social mediaOther

If other, please tell us where you heard about 321 Fit

Additional Opportunities

I would like to receive future communications related to improving health and wellness:

Yes, pleaseNo, thank you

Additional questions or comments:

Contact Information