Forms
NSSRA is proud to announce our adoption of ePACT Network, a health and safety software to better support all our participants and make it easier to submit critical data securely! ePact will be replacing our Annual Information Form, Seizure Information Form and the Allergy Form.
Registration Forms
ePact
NSSRA is proud to announce our adoption of ePACT Network, a health and safety software program to better support all our participants and make it easier to submit critical data securely! ePACT will be replacing our Annual Information Form, Seizure Information Form and the Allergy Form in Spring 2022.
Why are we using ePACT?
To save you time – With ePACT, you only need to complete your information once and then verify that it is still correct for additional programs or subsequent years (which you can do in just two minutes)! And if you need to update something quickly, log in and update it, and NSSRA will be notified immediately.
How does ePACT work?
- You’ll receive an email invite to share information with NSSRA.
- Click ‘Complete Request’ to create a free account or log in if you already have an existing ePACT account.
- Enter the required information, like medical conditions, and share it with NSSRA so that program staff have access.
- ePACT makes it far easier for you to share emergency information with us while also ensuring we have access to records anytime, anywhere with the mobile app – even without an internet connection.
Rest assured that you always own your account and the information in it. Have questions or feedback? Don’t hesitate to get in touch with us at registration@nssra.org or visit www.epactnetwork.com.
Annual Forms
- Trip Information Form (TIF)
- Participant Information Form (Inclusion)
- Reduced Fee Application
- Adult Day Program Interest Form
Special Olympics Forms English
- Special Olympics Athlete Consent Form
- Special Olympics Medial Form
- Special Olympic Athlete Consent Form Instructions
- Special Olympics Medial Form Instructions
Special Olympics Forms Spanish/Español
- Special Olympics Athlete Consent Form
- Special Olympics Medial Form
- Special Olympic Athlete Consent Form Instructions
Participant Assessment
*The TIF and Special Olympics Application for Participant forms can all be downloaded, completed, and then emailed to registration@nssra.org as well. These forms are not available for automated, electronic submission.
Once your form is submitted successfully, you will immediately receive an automated confirmation email. Should you have any difficulty, please complete the forms, save to your computer, and email to registration@nssra.org.
All forms can also be faxed to (847) 509-1177, mailed to 1221 County Line Rd., Highland Park, IL 60035, or dropped off at the front desk. We will do our best to accommodate you!
