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. More information to come this Fall.

ePact

• Whats is ePact?
• Faqs

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 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

*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 1221 County Line Rd., Highland Park, IL 60035, or dropped off at the front desk. We will do our best to accommodate you!