Agency Information

Agency Number:2-01
Agency Name:Antigo Special Olympics
Agency Type:Community
Date From:4/12/2021
Address1:N697 COUNTY RD D
Address2:
Address3:
City:Antigo
State:Wi
Zip:54409
Business Phone:17156262210
Home Phone:715-623-2210
Cell Phone:
Fax:
Agency Manager:Jeanne Long
Manager Date From:8/30/2013
Manager Email:jklong@frontier.com
Co Manager:Katelyn Filbrantd
Co Manager Date From:11/08/2023
Co Manager Email:katelyn.filbrandt@gmail.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

Yes
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters Monthly
E-Mail Weekly
Facebook Group Weekly
Website
Mail
Other: meetings ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-03
Agency Name:Wausau Metro Adult Special Olympics Agency 2-03
Agency Type:Community
Date From:2022
Address1:15524 N. 4th Ave
Address2:
Address3:
City:Merrill
State:WI
Zip:54452
Business Phone:
Home Phone:715-536-6633
Cell Phone:715-573-7692
Fax:
Agency Manager:Bev Schmidt
Manager Date From:10/01/2016
Manager Email:beverlyaschmidt54@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Everett Schmidt
Treasurer Date From:9/01/2017
Treasurer Email:eschmidtyjr@aol.com
Fundraiser Name:David Krause
Fundraiser Date From:03/15/19
Fundraiser Email:krsmiles@charter.com
Medical Records Name:Carol Krause
Medical Records Date From:
Medical Records Email:krsmiles@charter.com
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:Yes
Powerlifting:
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:Yes
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

12
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other: Monthly

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

How can we get more volunteers? Who has been successful getting and retaining volunteers? (other agencies who might share their successful ideas)rnrnIs there a Power Point presentation that is available to use to present to business personnel to get volunteers? rn

Agency Information

Agency Number:2-05
Agency Name:Rhinelander Area Special Olympics 2-05
Agency Type:Community
Date From:
Address1:2653 Kennedy Rd
Address2:
Address3:
City:Rhinelander
State:Wi
Zip:54501
Business Phone:
Home Phone:715-369-5378
Cell Phone:
Fax:
Agency Manager:SueEllen Hopp
Manager Date From:
Manager Email:hoppfam@charter.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Peggy Jensen
Treasurer Date From:8/01/2023
Treasurer Email:peggy.jo.jensen@gmail.com
Fundraiser Name:Rod Ankkrom
Fundraiser Date From:
Fundraiser Email:rodankrom@yahoo.com
Medical Records Name:Kristine Mangerson
Medical Records Date From:
Medical Records Email:mangersonk@yahoo.com
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:Yes
Fundraising Org Name:Nicolet college proffesional of America --club
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

7
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail ESS
Facebook Group
Website
Mail
Other: memo's specific to sports season ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-09
Agency Name:Mosinee Schools
Agency Type:School
Date From:4/04/2002
Address1:1000 High Street
Address2:test
Address3:test
City:Mosinee
State:WI
Zip:54455
Business Phone:7156932550
Home Phone:7156932550
Cell Phone:7154090372
Fax:7156931152
Agency Manager:John Janikowski
Manager Date From:2/01/2022
Manager Email:jjanikowski@mosineeschools.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:John Janikowski
Treasurer Date From:2/01/2022
Treasurer Email:jjanikowski@mosineeschools.org
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:John Janikowski
Medical Records Date From:2/01/2022
Medical Records Email:jjanikowski@mosineeschools.org
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:Yes
Fundraising Org Name:Knights of Columbus raised money during their tootsie roll sale
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:Yes
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters Monthly
E-Mail Monthly
Facebook Group
Website ESS
Mail ESS
Other: phone call ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-11
Agency Name:Northern Access Special Olympics
Agency Type:Community
Date From:
Address1:315 Jonathan Street
Address2:Apt. P
Address3:
City:Eagle River
State:WI
Zip:54521
Business Phone:7158910795
Home Phone:7158910795
Cell Phone:7158910795
Fax:
Agency Manager:Lou Deditz
Manager Date From:8/01/2014
Manager Email:lmndeditz@frontier.com
Co Manager:Mary Deditz
Co Manager Date From:8/012014
Co Manager Email:lmndeditz@frontier.com
Treasurer Name:Mary Deditz
Treasurer Date From:6/01/2011
Treasurer Email:lmndeditz@frontier.com
Fundraiser Name:Mary Mulleady
Fundraiser Date From:9/01/2014
Fundraiser Email:mmuleady@npsd.k12.wi.us
Medical Records Name:Ken & Carie Kluever
Medical Records Date From:4/01/2019
Medical Records Email:kkluever18@gmail.com
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

5
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website ESS
Mail ESS
Other: NO ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

No


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-12
Agency Name:Neillsville SO 2-12
Agency Type:Community
Date From:1/1/1983
Address1:Special Olympics Neillsville
Address2:401 Center St
Address3:
City:Neillsville
State:WI
Zip:54456-2029
Business Phone:
Home Phone:
Cell Phone:715-937-2488
Fax:(715) 743-8814
Agency Manager:Dean Glaze
Manager Date From:1/1/1983
Manager Email:skiglaze@hotmail.com
Co Manager:Steven J. Meurett
Co Manager Date From:10/1/2002
Co Manager Email:smeurett@yahoo.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:No
Alpine Skiing:Yes
Cross Country Skiing:Yes
Snowboarding:Yes
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

3
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Yes

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Athlete Name: Daina Shilts










Athlete Name: Desi Heck










Questions / Concerns

Agency Information

Agency Number:2-13
Agency Name:South Wood County
Agency Type:Community
Date From:
Address1:10240 Young St.
Address2:
Address3:
City:Wisconsin Rapids
State:Wi
Zip:54494
Business Phone:
Home Phone:715-325-2856
Cell Phone:715-459-7916
Fax:
Agency Manager:Mark Herzberg
Manager Date From:1/01/1995
Manager Email:swmark@wctc.net
Co Manager:Dawn Korslin
Co Manager Date From:5/10/2016
Co Manager Email:dustyangel@wctc.net
Treasurer Name:Mark Herzberg
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Dawn Korslin
Medical Records Date From:3/01/2001
Medical Records Email:dustyangel@wctc.net
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail
Facebook Group
Website
Mail
Other: as needed for each sports season Weekly

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-14
Agency Name:STEVENS POINT PUBLIC SCHOOLS
Agency Type:School
Date From:
Address1:1201 NORTHPOINT DR
Address2:2116 MCCULLOCH ST #1
Address3:
City:STEVENS POINT
State:WI
Zip:54481
Business Phone:
Home Phone:
Cell Phone:7155700587
Fax:
Agency Manager:TINA CHEVALIER-LAUBE
Manager Date From:2012
Manager Email:Tchevalierlaube@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:Yes
Fundraising Org Name:SPASH SPECIAL SPORTS
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:Yes
Powerlifting:
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-17
Agency Name:Marshfield Area Special Olympics
Agency Type:Community
Date From:
Address1:1412 S. Felker Ave
Address2:
Address3:
City:Marshfield
State:WI
Zip:54449
Business Phone:715-384-6000
Home Phone:715-323-1219
Cell Phone:
Fax:
Agency Manager:Randy Follen
Manager Date From:2/15/2012
Manager Email:217maso@gmail.com
Co Manager:Janet Bell
Co Manager Date From:
Co Manager Email: jkb9796yrr@yahoo.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Janet Bell
Fundraiser Date From:
Fundraiser Email:jkb9796yrr@yahoo.com
Medical Records Name:Janet Bell
Medical Records Date From:
Medical Records Email:jkb9796yrr@yahoo.com
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:Yes
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:Yes
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

10
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group Monthly
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








No

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-20
Agency Name:Golden Eagles
Agency Type:Community
Date From:1976
Address1:W9440 Sawyer Ave
Address2:
Address3:
City:Withee
State:Wi
Zip:54498
Business Phone:
Home Phone:7157480164
Cell Phone:715-383-5476
Fax:
Agency Manager:Katie Freudenthal
Manager Date From:4/03/2013
Manager Email:tcspecialolympics@gmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Bruce Poehler
Treasurer Date From:10/05/2016
Treasurer Email:chezney@tds.net
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Sandy Poehler
Medical Records Date From:10/05/2016
Medical Records Email:chezney@tds.net
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

No
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

4
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail
Facebook Group ESS
Website
Mail
Other: practices

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

No
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

No


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-21
Agency Name:Merrill Public Schools
Agency Type:School
Date From:8/01/2016
Address1:1201 Sales St.
Address2:
Address3:
City:Merrill
State:Wi
Zip:54452
Business Phone:715-536-9593 ext.17108
Home Phone:715-218-7206
Cell Phone:715-218-7206
Fax:
Agency Manager:Emily Heckendof
Manager Date From:9/01/2023
Manager Email:emily.heckendorf@mapsedu.org
Co Manager:Trina Pawlicki
Co Manager Date From:9/01/2020
Co Manager Email:trina.pawlicki@mapsedu.org
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:Yes
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail
Other: ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

None

Agency Information

Agency Number:2-22
Agency Name:Tomahawk Schools 2-22
Agency Type:School
Date From:
Address1:1048 E. King Road
Address2:
Address3:
City:Tomahawk
State:WI
Zip:54487
Business Phone:715-453-5371 Ext. 336
Home Phone:715-966-5001
Cell Phone:715-966-5001
Fax:715-453-9630
Agency Manager:Kayla Heldt
Manager Date From:8/02/2021
Manager Email:heldtk@tomahawk.k12.wi.us
Co Manager:Cody Lewison
Co Manager Date From:8/02/2021
Co Manager Email:lewisonc@tomahawk.k12.wi.us
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:No
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

N/A
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

N/A
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other: Letters Home ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-24
Agency Name:Merrill Adult Special Olympics
Agency Type:Community
Date From:
Address1:209 N. Thomas Street
Address2:
Address3:
City:Merrill
State:Wi
Zip:54452
Business Phone:7152181487
Home Phone:
Cell Phone:
Fax:
Agency Manager:Dan Ollhoff
Manager Date From:
Manager Email:drollhoff@gmail.com
Co Manager:Chris Brown
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:Yes
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

No

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

No
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

N/A
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

No
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

N/A
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail
Facebook Group
Website
Mail
Other:

No
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

N/A

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








No

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-25
Agency Name:Stevens Point Area YMCA 2-25
Agency Type:Community
Date From:1993
Address1:1000 Division St
Address2:
Address3:
City:Stevens Point
State:WI
Zip:54481-2724
Business Phone:715-952-9365
Home Phone:
Cell Phone:(715) 498-0092
Fax:(715) 342-2987
Agency Manager:Kristy J. Bridenhagen
Manager Date From:6/28/2004
Manager Email:kbridenhagen@spymca.org
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:Yes
Fundraising Org Name:Stevens Point Area YMCA
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:Yes
Rhythmic Gymnastics:Yes
Aquatics:Yes
Athletics:Yes
Soccer:Yes
Powerlifting:Yes
Bocce:Yes
Golf:Yes
Softball:Yes
Tee Ball:Yes
Tennis:Yes
Bowling:Yes
Volleyball:Yes
Flag Football:Yes
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Yes

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

N/A
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

N/A
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






registration fees
Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website ESS
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

No

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Athlete Name: Adam Daniewicz










Athlete Name: Sean Mudgett








Mentor

Questions / Concerns

Agency Information

Agency Number:2-28
Agency Name:Everest Area
Agency Type:Community
Date From:9/25/2016
Address1:3514 Ross Avenue
Address2:
Address3:
City:Weston
State:WI
Zip:54476
Business Phone:
Home Phone:715-359-9134
Cell Phone:715-506-0890
Fax:
Agency Manager:Cheryl Johnson-Domino
Manager Date From:2008
Manager Email:cheryl.johnsondomino@gmail.com
Co Manager:Therese Hackbarth
Co Manager Date From:9/01/2009
Co Manager Email:dandt9@frontier.com
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

4
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Sometimes it seems very difficult to get answers to questions that I might have. I have volunteers who need to do their Protective Behaviors for their three year screening and they do not receive any email with how to complete this. I have asked and have been told emails have gone but yet none have been received. Would be nice when you leave a message on someone's voicemail that you get the courtesy of a return call. Would like to know who the unified contact person is for my area. Would be nice if we could incorporate some of the unified participants into our program. I really feel in the dark with this unified stuff..

Agency Information

Agency Number:2-29
Agency Name:School District of Rhinelander
Agency Type:School
Date From:10/06/2022
Address1:5493 Riverview Dr.
Address2:
Address3:
City:Rhinelander
State:WI
Zip:54501
Business Phone:7153670159
Home Phone:7153670159
Cell Phone:7153670159
Fax:
Agency Manager:Nina Hazelton
Manager Date From:9/28/2020
Manager Email:hazelnin@rhinelander.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:No
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

7
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

N/A
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

N/A
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

No
6.

Local Program has in-house accounts with Special Olympics Wisconsin

No
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other: remind now app ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

No
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

No
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-30
Agency Name:Lakeland Area Special Olympics
Agency Type:Community
Date From:01011989
Address1:PO Box 704
Address2:
Address3:
City:Minocqua
State:WI
Zip:54548
Business Phone:
Home Phone:715-356-4337
Cell Phone:715-614-4346
Fax:
Agency Manager:Rhonda Baldwin
Manager Date From:01012000
Manager Email:rnr@newnorth.net
Co Manager:Rhonda Baldwin
Co Manager Date From:
Co Manager Email:
Treasurer Name:Rhonda Baldwin
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Rhonda Baldwin
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Rhonda Baldwin
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:Yes
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters Monthly
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other: ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-39
Agency Name:Spencer Special Olympics
Agency Type:Community
Date From:
Address1:100238 153RD RD
Address2:
Address3:
City:Spencer
State:Wi
Zip:54479
Business Phone:
Home Phone:715-659-4046
Cell Phone:
Fax:
Agency Manager:Kay Derks
Manager Date From:
Manager Email:kayderks@frontier.com
Co Manager:Vivian Gamble
Co Manager Date From:
Co Manager Email: vivgamble01@gmail.com
Treasurer Name:Both
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Both
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Both
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

3
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

N/A

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail
Facebook Group
Website
Mail ESS
Other: Face to face ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

We are still trying to find a basketball coach. Our athletes are so excited to be bowling again.

Agency Information

Agency Number:2-43
Agency Name:Colby Abby Community
Agency Type:Community
Date From:1998
Address1:703 N 2nd St
Address2:
Address3:
City:Colby
State:WI
Zip:54421
Business Phone:7152238869 x4254
Home Phone:
Cell Phone:7155035553
Fax:
Agency Manager:Lisa Brill
Manager Date From:8/01/2023
Manager Email:lbrill@colby.k12.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Julie Johnson
Fundraiser Date From:11/01/2022
Fundraiser Email:dixiejaj@gmail.com
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail
Other: Parent/Athlete Meeting ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-44
Agency Name:Wisconsin Rapids Special Sports SO 2-44
Agency Type:School
Date From:1/1/1992
Address1:5291 Old So White Road
Address2:
Address3:
City:Plover
State:WI
Zip:54467
Business Phone:7154246750
Home Phone:7153102840
Cell Phone:
Fax:
Agency Manager:Jackie Kleman
Manager Date From:9/01/2020
Manager Email:jacqueline.kleman@wrps.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Nicole Reetz
Treasurer Date From:9/01/2022
Treasurer Email:nicole.reetz@wrps.net
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:No
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other: phone calls ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

No
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:2-50
Agency Name:Wausau Area Youth 2-50
Agency Type:Community
Date From:
Address1:233 North 12th Ave
Address2:
Address3:
City:Wausau
State:WI
Zip:54401
Business Phone:
Home Phone:
Cell Phone:7152977157
Fax:
Agency Manager:Erin Radke
Manager Date From:7/01/2008
Manager Email:wausauareayouthso@gmaim.com
Co Manager:Kacie Niemuth
Co Manager Date From:7/1/2008
Co Manager Email:wausauareayouthso@gmail.com
Treasurer Name:Both of us
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Erin Radke
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Kacie Niemuth
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

1
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website
Mail ESS
Other: All SOWI events on FB ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-06
Agency Name:EAU CLAIRE ADULTS
Agency Type:Community
Date From:5/01/1975
Address1:2402 Valley Rd N
Address2:
Address3:
City:Eau Claire
State:WI
Zip:54703
Business Phone:7155773166
Home Phone:
Cell Phone:715-577-3166
Fax:
Agency Manager:Kim Huber
Manager Date From:1/01/2015
Manager Email:kimberann67kh@gmail.com
Co Manager:Sue McNally
Co Manager Date From:1/01/2021
Co Manager Email:mcnallys3606@charter.net
Treasurer Name:Jerry Kroll
Treasurer Date From:10/01/2023
Treasurer Email:katieandjodie@gmail.com
Fundraiser Name:KIM HUBER
Fundraiser Date From:8/03/2015
Fundraiser Email:kimberann67kh@gmail.com
Medical Records Name:Cathy Gravitt
Medical Records Date From:11/01/2022
Medical Records Email:cathyspomm306@yahoo.com
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:Yes
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:Yes
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

15
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






transportation
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail Monthly
Facebook Group Monthly
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

N/A

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

Yes
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-08
Agency Name:Northern Lights
Agency Type:Other
Date From:1988
Address1:1104 E 7th St
Address2:
Address3:
City:Superior
State:WI
Zip:54880
Business Phone:
Home Phone:7153927276
Cell Phone:7158170004
Fax:
Agency Manager:Mary Hanchett
Manager Date From:1988
Manager Email:maryhanch@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

N/A
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Some meals
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

No

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

No
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail
Facebook Group
Website
Mail
Other: phone calls ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-09
Agency Name:Chippewa County Adults 3-09
Agency Type:Community
Date From:1/01/1980
Address1:616 Miles Street
Address2:
Address3:
City:Chippewa Falls
State:Wi
Zip:54729
Business Phone:
Home Phone:715-723-8349
Cell Phone:715-210-2318
Fax:715-723-8349
Agency Manager:Denise S. Roesler
Manager Date From:9/01/2014
Manager Email:bddroesler@gmail.com
Co Manager:
Co Manager Date From:9/01/2014
Co Manager Email:
Treasurer Name:Sandra E. Barsamian
Treasurer Date From:4/02/2008
Treasurer Email:sandib0751@gmail.com
Fundraiser Name:Rebecca K. Steinmetz
Fundraiser Date From:9/08/2016
Fundraiser Email:beckmetz@chipvalley.com
Medical Records Name:Joanne Sobieski
Medical Records Date From:9/01/2014
Medical Records Email:sojoanne@aol.com
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

15
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






participation fee
Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group ESS
Website ESS
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

Yes
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-10
Agency Name:Chippewa Falls Schools 3-10
Agency Type:School
Date From:
Address1:12748 98th ave
Address2:
Address3:
City:Chippewa Falls
State:WI
Zip:54729
Business Phone:
Home Phone:7157209264
Cell Phone:7155597499
Fax:
Agency Manager:Denise Buckli
Manager Date From:6/30/2009
Manager Email:glbuckl@hotmail.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

Yes
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-11
Agency Name:Burnett County Special Olympics
Agency Type:Community
Date From:9/01/2018
Address1:2787 100th St
Address2:
Address3:
City:Frederic
State:WI
Zip:54837
Business Phone:
Home Phone:715-472-2534
Cell Phone:715-491-4862
Fax:715-472-6535
Agency Manager:Leanne Richter
Manager Date From:
Manager Email:Luckauto@lakeland.ws
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Linda Barenz
Medical Records Date From:9/01/2018
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

N/A
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group Weekly
Website
Mail
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-12
Agency Name:Chequamegon Bay Area Athletes
Agency Type:Community
Date From:
Address1:3002 Farm Road
Address2:c/o Michelle Fulweber
Address3:
City:Ashland
State:WI
Zip:54806
Business Phone:
Home Phone:
Cell Phone:7154131150
Fax:
Agency Manager:Michelle Fulweber
Manager Date From:2010
Manager Email:shellynn42@centurytel.net
Co Manager:Shannon Esala
Co Manager Date From:
Co Manager Email:metalynn@hotmail.com
Treasurer Name:Michelle Fulweber
Treasurer Date From:
Treasurer Email:shellynn42@centurytel.net
Fundraiser Name:Shannon Esala
Fundraiser Date From:
Fundraiser Email:metalynn@hotmail.com
Medical Records Name:Michelle Kainz
Medical Records Date From:
Medical Records Email:bitzer2004@yahoo.com
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:Yes
Cross Country Skiing:Yes
Snowboarding:Yes
Snowshoe Racing:Yes
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:Yes
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

8
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail ESS
Facebook Group ESS
Website
Mail
Other: calling ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-15
Agency Name:River Valley
Agency Type:Community
Date From:
Address1:2614 Sandpiper Lane
Address2:
Address3:
City:Woodville
State:WI
Zip:54028
Business Phone:
Home Phone:
Cell Phone:7152220378
Fax:
Agency Manager:Kim Bond
Manager Date From:9/01/2023
Manager Email:rivervalley315@outlook.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

6
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






No
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-18
Agency Name:Thorp Adult
Agency Type:Community
Date From:1/27/1997
Address1:1465 Loffler Ct
Address2:
Address3:
City:Chippewa Falls
State:Wi
Zip:54729
Business Phone:
Home Phone:
Cell Phone:612 770 3249
Fax:
Agency Manager:Diana Lightner
Manager Date From:7/11/2022
Manager Email:st_diana@yahoo.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Diana Lightner
Treasurer Date From:7/11/2022
Treasurer Email:st_diana@yahoo.com
Fundraiser Name:Diana Lightner
Fundraiser Date From:7/11/2022
Fundraiser Email:st_diana@yahoo.com
Medical Records Name:Diana Lightner
Medical Records Date From:7/11/2022
Medical Records Email:st_diana@yahoo.com
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:Yes
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:Yes
Unified Bowling:Yes
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

5
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail
Facebook Group
Website
Mail ESS
Other: year end meeting info ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-19
Agency Name:Trempealeau Co. Health Care Center
Agency Type:
Date From:
Address1:W20298 st rd 121
Address2:
Address3:
City:Whitehall
State:wi
Zip:54773
Business Phone:715-538-4312
Home Phone:715-533-1731
Cell Phone:715-533-1731
Fax:715-538-2426
Agency Manager:Jeff Langner
Manager Date From:7/01/1992
Manager Email:jlanger@tchcc.com
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Lori Glaunert
Treasurer Date From:9/01/1998
Treasurer Email:lglaunert@tchcc.com
Fundraiser Name:Jeff Langner
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Jeff Langner
Medical Records Date From:
Medical Records Email:
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

Yes
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other:

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-20
Agency Name:Ventures Athletics
Agency Type:Community
Date From:
Address1:10140 Hwy 27 S.
Address2:P.O. Box 13050
Address3:
City:Hayward
State:WI
Zip:54843
Business Phone:715-934-3035
Home Phone:
Cell Phone:
Fax:
Agency Manager:Christine Mayou
Manager Date From:10/01/2016
Manager Email:cmayou@centurytel.net
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Wenonah Johnson
Treasurer Date From:10/01/2017
Treasurer Email:wenonah.johnson@gmail.com
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Tom Sweeney
Medical Records Date From:10/01/2016
Medical Records Email:tom@venturesunlimited.org
Athletes Served:Adult
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

2
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail
Facebook Group
Website
Mail ESS
Other: annual meeting ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

Agency Information

Agency Number:3-21
Agency Name:Ellsworth Area Special Olympics
Agency Type:Community
Date From:01/1977
Address1:W 609 St Rd 29
Address2:
Address3:
City:Spring Valley
State:WI
Zip:54767
Business Phone:work # 715-273-6780 X 6615
Home Phone:715-778-4278
Cell Phone:715-307-4403
Fax:715-273-6863
Agency Manager:Kathy Spence
Manager Date From:01/1977
Manager Email:kspence@co.pierce.wi.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:Kathy Spence
Treasurer Date From:01/1977
Treasurer Email:kspence@co.pierce.wi.us
Fundraiser Name:JoAnn Larson
Fundraiser Date From:9/01/2016
Fundraiser Email:theposeyparlor@gmail.com
Medical Records Name:Kathy spence
Medical Records Date From:09/01/2020
Medical Records Email:kspence@co.pierce.wi.us
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:Yes
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:Yes
Unified Bowling:Yes
Corn Hole:Yes
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

4
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

don't know

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

No
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail ESS
Facebook Group
Website
Mail ESS
Other: telephone ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

N/A
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

I do not ever remember being told that the competition guide was not going to be a source of information-- you have the competition guide which was kind of like our main place to go-- it is still in the log on section but it shows up as error 404 the same as uniform branding it would be good if the information would be there or else remove it --- would like sports information- rules for the sports to also be on the back end for agencies----- would like more encouragement for the regular bowling season to have unified bowling-- had 2 athletes that wanted to bowl in virtual competition as a unified double however they were denied that opportunity due to no other doubles for them to compete with - perhaps when there is that other unified double competition ( 1 time only with no advancement to state) there could be more information given to the doubles to encourage them to participate in the unified double virtual event. rnrnrn10/23 F 1 question indicates a N/A as you have no official materials-- yet there is NO N/A to check

Agency Information

Agency Number:3-25
Agency Name:Menomonie Red Cedar
Agency Type:Community
Date From:
Address1:N7577 540th St.
Address2:
Address3:
City:Menomonie
State:Wi
Zip:54751
Business Phone:
Home Phone:
Cell Phone:715-505-0860
Fax:
Agency Manager:Dan Gainey
Manager Date From:11/04/2002
Manager Email:gainey@charter.net
Co Manager:Roxi Wakeen
Co Manager Date From:8/24/2021
Co Manager Email:roxiwakeen18@gmail.com
Treasurer Name:Patti Miara
Treasurer Date From:11/08/2010
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:Yes
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:Yes
Bocce:Yes
Golf:
Softball:Yes
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

Yes 15
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

N/A
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

No

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters
E-Mail Monthly
Facebook Group Weekly
Website
Mail
Other: Facebook Monthly

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Questions / Concerns

None. Thank You!

Agency Information

Agency Number:3-26
Agency Name:Eau Claire Rascals 3-26
Agency Type:School
Date From:1/1/1992
Address1:500 Main Street
Address2:
Address3:
City:Eau Claire
State:WI
Zip:54703
Business Phone:715.852.6742
Home Phone:
Cell Phone:715.894.0440
Fax:
Agency Manager:Stephanie Travis
Manager Date From:6/11/2018
Manager Email:stravis@ecasd.us
Co Manager:
Co Manager Date From:
Co Manager Email:
Treasurer Name:
Treasurer Date From:
Treasurer Email:
Fundraiser Name:
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:
Medical Records Date From:
Medical Records Email:
Athletes Served:Youth
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:Yes
Fundraising Org Name:Eau Claire Area School District
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:
Athletics:Yes
Soccer:
Powerlifting:
Bocce:
Golf:
Softball:
Tee Ball:
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:
Sr Athletes Sports:

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

Yes
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

0
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

No
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

no

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.

Local Program submits Money Handling Accountability form for all fundraisers at the time a deposit is made. (Checking N/A indicates the Local Program does not conduct fundraisers where cash is exchanged.)

Yes
5.

Local Program understands how to check its finances on the Local Program log in of the website and does so monthly. (Applies only if Local Program has in-house account.)

Yes
6.

Local Program has in-house accounts with Special Olympics Wisconsin

Yes
7.

Local Program raises funds in the name of another organization/entity (i.e. school, YMCA) to benefit Special Olympics Wisconsin

Yes

Fundraising

1.

Local Program does not deny athletes participation based on economic circumstance. (Checking “No” indicates your Local Program denies athletes because of economic circumstance.)






athlete parties, food
Yes
2.

The following question is only for Local Programs who conduct fundraisers in the name of Special Olympics Wisconsin: Local Program participates in state-sponsored fundraising events, many of which offer Local Program rebates.

Yes

Communication & Public Relations

1.

Local Program official materials (i.e. stationary, event programs, newsletters) use the required brand standards layout as outlined by Special Olympics, Incorporated. (Circling N/A indicates Local Program has no official materials.)

Yes
2.

Local Program regularly communicates information to athletes, families, volunteers and sponsors. (The use of written communication is encouraged for all Local programs.)

Newsletters ESS
E-Mail Monthly
Facebook Group Monthly
Website ESS
Mail ESS
Other: notes home ESS

Yes
3.

Local Program has read and understands the SOWI Crisis Communication Plan.

Yes
4.

Local Program’s only form of social media is through a Facebook group (not Facebook page). (Checking N/A means the Local Program does not use social media)

Yes
5.

Local Program flag or banner has the current Special Olympics logo. When ordering new materials, standards must be met.

Yes
6.

Local Program uniforms have the current Special Olympics logo. (Circling N/A indicates uniforms don’t contain the Special Olympics logo.) When ordering new materials, standards must be met.

Yes

Outreach

1.

Local Program does not discriminate on the basis of race, gender, religion, nationality, origin or political philosophy. (Checking “No” indicates your Local Program discriminates.)

Yes
2.

If Local Program has reached its full capacity and is unable to bring new athletes into the program, check yes. (If any Local Program has reached its full capacity, the Local Program refers the individual to the Region office.)

No
3.

Local Program is informing their parents about Healthy Athletes disciplines and/or making parents aware athletes can attend Healthy Athletes at State games without being registered for that State games.








Yes

Athlete Leadership Programs (ALPs)

1.

Local Program is aware of Unified Leadership, and, if appropriate, places athletes in a position of leadership at the Local Program level.

Yes


If you have athletes in these roles in 2023-2024, please list name and check all roles that apply:

Athlete Name: Steven Folstad










Athlete Name: Alberto Larabee










Questions / Concerns

Agency Information

Agency Number:3-30
Agency Name:Barron County
Agency Type:Other
Date From:1978
Address1:1011 North Wisconsin Ave.
Address2:
Address3:
City:Rice Lake
State:Wi
Zip:54868
Business Phone:
Home Phone:
Cell Phone:7156517439
Fax:
Agency Manager:Mary Ebner
Manager Date From:1978
Manager Email:maryebner2@gmail.com
Co Manager:Brad & Stacy Nelson
Co Manager Date From:2017
Co Manager Email:stacykilmer@yahoo.com
Treasurer Name:Mary Ebner/Dell Carlson/Stacy Nelson
Treasurer Date From:
Treasurer Email:
Fundraiser Name:Brad Nelson/Stacy Nelson/ Jordan Grilley
Fundraiser Date From:
Fundraiser Email:
Medical Records Name:Mary Ebner, Brad Nelson, Dell Carlson
Medical Records Date From:
Medical Records Email:
Athletes Served:Both
Accepting New Athletes:Yes
Accounts In House:Yes
Fundraising Another Org:No
Fundraising Org Name:
Alpine Skiing:
Cross Country Skiing:
Snowboarding:
Snowshoe Racing:
Team Basketball:Yes
Basketball Skills:Yes
Artistic Gymnastics:
Rhythmic Gymnastics:
Aquatics:Yes
Athletics:Yes
Soccer:
Powerlifting:Yes
Bocce:
Golf:
Softball:Yes
Tee Ball:Yes
Tennis:
Bowling:Yes
Volleyball:
Flag Football:
Agreement:Yes
Unified Basketball:
Unified Bocce:
Unified Bowling:
Corn Hole:Yes
Sr Athletes Sports:Yes

Administration

1.

The Local Program Manager has reviewed and understands the SOWI Local Program Guide and references appropriate sections to members of the Local Program Team.

Yes
2.

When signing contracts, the Local Program utilizes the Certificate of Insurance according to SOWI guidelines. (Checking N/A indicates the Agency does not sign contracts.)

N/A
3.

Local Program follows Special Olympics, Incorporated policies regarding athlete housing.

Yes
4.

Local Program understands the purpose of the SOWI Local Program Management Committee and knows how to contact their Region’s representative.

Yes
5.

Local Program knows how to navigate and utilize the SOWI website, including how to access the Local Program log in, and where the Local Program Manager “SOWI Local Program Guide”, Competition Guide, forms and other resources are located.

Yes

Training and Volunteers

1.

All volunteers (Local Program Managers, coaches, chaperones, etc.) are registered as Class A volunteers with SOWI according to the Special Olympics, Inc. volunteer registration policy including completing the Protective Behaviors, Class A Form, and background check online training.

Yes
2.

All certified coaches have completed the online General Coaches’ Certification and all Class A Requirements.

Yes
3.

Local Program follows all SOWI policy relating to volunteers and roster accuracy in addition to the team or individual sport advancement to state-level competition (A certified coach must accompany each team or serve as the certified coach for one sport at the same State Tournament).

Yes
4.

Please report the total number of family members actively involved in a leadership role in your agency.

Yes We hav
5.

Class A volunteers, Certified Coaches, and Athletes (including Unified Sports Partners) must adhere to their respective Code of Conduct.

Yes
6.

All training and competition facilities and equipment are safe and there is a first aid kit, up-to-date athlete medical information and emergency contact on hand, a phone and/or transportation available in case of an emergency. This information is to be provided by the coach if the athlete needs medical attention. It is recommended that coaches and chaperones carry this information at all times while at competitions.

Yes
7.

All athletes have a current Application for Participation in Special Olympics Form (Athlete Medical Form) and Official Special Olympics Release Form filed with SOWI State Office, prior to beginning training

Yes
8.

Does your Local Program offer any of the following fitness programming outside of the regular sports practices? (Check all that apply)

Yes
9.

What sport-specific training would you like to see offered in your region? *Please note this is only to gauge interest and does not guarantee that a training will be held in your region. (Check all that apply)

Competition

1.

Local Program possesses, understands and utilizes the Competition section of the SOWI Local Program Guide.

Yes
2.

Athletes adhere to sports rules and competition policies.

Yes
3.

Coaches conduct themselves in a professional manner which reflects the SOWI mission and philosophy, adheres to sports rules and competition policies.

Yes
4.

Local Program is aware of USA Games and World Games opportunities for their athletes and coaches and understands how to nominate those that qualify.

Yes

Finance

1.

Local Program follows procedures and submits proper documents for petty cash, payables and deposits.

Yes
2.

Invoice Approval Form is signed by the Local Program Manager and one other member of the Local Program Management Team who are Class A volunteers without financial restrictions and are not family members of each other.

Yes
3.

Local Program understands and submits Sales Tax Reporting Form with deposits that include sales of taxable items within 30 days of the sale. (Checking N/A indicates Local Program does not conduct sales tax activities.)

Yes
4.