1. List 10 residents who will be attending. This can change the day of the Olympics
2. Mail registration fee of $150
3. $20 for each shirt ordered

Please fill out the following information and then mail payment to:

IGOAL
Dr. Ted Muilenburg
PO Box 434
Institute, WV 25112

2023 WV Geri Olympics - Registration

  • Team Members

    Please list participating team members.
  • T-shirts

    $20 a shirt includes: Geri logo and facility name.
  • Please list sizes needed here.
  • Payment

    Please send payment to IGOAL Dr. Ted Muilenburg PO Box 434 Institute, WV 25112