• Virtus Sport Eligibility Application

    Virtus Sport Eligibility Application

    For U.S. Athletes with Intellectual Impairments
  • Welcome! What are you using this form to do?*
  • Application Contact

  • Who's filling out this form?*
  • Format: (000) 000-0000.
  • Todays Date
     - -
  • Editable Submission Date
     - -
  • New Athlete Application

    To make things easier — this online form is replacing our previous PDF version!
  • Image of PDF Application
  • Have you already downloaded and signed our previous PDF Application?
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  • Sports & Events

  • Upcoming Competition Date
     - -
  • Select all sports the athlete competes in so we can share opportunities!
  • Event Date (Single Field)
     - -
  • Athlete Information

  • Submit Additional Information

  • Who's Application Fee Are You Paying?

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  • Athlete Date of Birth*
     - -
  • Athlete Date of Birth (Single Field)*
     - -
  • Athlete Gender (as stated on US Passport or State ID)*
  • Does the athlete already have their US Passport?*
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  • Parent or Legal Guardian

  • Format: (000) 000-0000.
  • Does parent/guardian have same address as athlete?*
  • Diagnosis & Supporting Documents

    If you're not sure what to provide your School IEP is a good place to start!
  • Does athlete have Autism?*
  • Does athlete have Down Syndrome?*
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  • Sample Genetic Report
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  • Emergency Medical

    This section is for possible future Athletes Without Limits Trips to Virtus Events — Other organizations and events will have their own medical forms.
  • Dietary Needs:
  • Does Athlete have Allergies?
  • Allergies: (select all)
  • Does Athlete have Asthma?
  • Does Athlete have Sickle Cell Disease?
  • Medications & Sport

    This section is for future Athletes Without Limits Trips to Virtus Events. Some medications may require Additional Paperwork — other organizations may have their own medication policies.
  • Does the athlete take any prescription medications?*
  • Rows
  • Releases & Signatures

    To protect athletes both Athlete & Parent/Guardian signatures are required when e-signing.
  • Virtus International Logo
  • Virtus Athlete Declarations:
  • AWL Logo
  • Athletes Without Limits USA Privacy Policy, Liability & Photo Release:
  • Since you've already signed the PDF application
    electronic signatures aren't needed and have been hidden. 

  • Thanks for helping with this application! 
    Since you're not a 
    legal guardian we'll send you a pre-filled PDF Release Form you can use to gather signatures from the athlete and their parent/guardian. 

  • Is your parent or legal guardian there with you to sign the application below?
  • Let's Double Check Your Email: 
    We'll send a confirmation to the big address below — scroll up to fix any typos!
    {weGather}

  • Would you like to subscribe this address to email updates?
  • Last Step! Application Fee

  • Check below to pay the application fee:*

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    USA-Virtus Athlete Application Fee. From National review by AWL to Virtus confirmation.
    USA-Virtus Athlete Application Fee

    From National review by AWL to Virtus confirmation.

    $150$150
      
    Total
    $0.00$0.00
  • What is the correct billing address:*
  • Payment Methods

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