Athlete Name *

First Name

Last Name

Phone

(###)

###

####

Date of Birth *

MM

DD

YYYY

Which event are you competing in? *

Winter Games

Summer Games

Both

Would you be okay with us contacting your local media outlets and use your name to help spread the word about the Meijer State Games of Michigan? *

Yes

No

Would you be willing to be interviewed by the Meijer State Games of Michigan and/or the local media? *

Yes

No

Are you able to provide photos or video of you competing that the Meijer State Games of Michigan can use for promotional purposes? *

Yes

No

Name *

First Name

Last Name

Team played on: *

I competed in an individual sport

District 2

District 3

District 4

District 5

District 6

District 7

District 8

At Large

Other

Summer or Winter Games *

Summer Games

Winter Games

Both

Years of Meijer State Games participation: *

Check all that apply

2020

2019

2018

2017

2016

2015

2014

2013

2012

2011

2010