Forms

Participant Assessment

• Participant Assessment for In-Person Programs

Registration Forms

• Registration Form

Annual Forms

• 2021 Annual Information Form (AIF)
• Seizure Information Form (SIF)
• Trip Information Form (TIF)
• Allergy Information Packet
• Participant Information Form
• Reduced Fee Application
• Adult Day Program Interest Form

Special Olympics Forms

• Special Olympics Application for Participation (English)
• Special Olympics Application for Participation (Spanish/Español)
• Medical Application Quick Facts for Parents & Guardians

*The TIF, Adult Day Program Interest Form, 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 3105 MacArthur Blvd, Northbrook, IL 60062, or dropped off at the dropbox outside the office front door. We will do our best to accommodate you!