Certainly you should apply for accommodations for him Lori. The process can take a while so start early. It seems unwise to me to totally just assume he won't be able to do this. He's bright kid who has shown you that he can exceed your expectations. It seems a shame to cut him off from this possibilities that may allow him to use his considerably intelligence in ways that may help open up future possibilities for him.
One thing I'd keep in mind is that this is a one time thing. It isn't like he'd have to maintain that level of energy day after day. Adrenaline can be quite a powerful thing to overcome some of these challenges for a short period of time. Also, hopefully solutions will be identified that help him manage his pain. If he's never tried to practice bubbling I would not assume he's incapable of learning to do it. Some kids who struggle with handwriting or fine motor strength are still able to bubble.
I've said it before and I'll say it again, improvements in strength are a HUGE help with hypotonia. It is not too late for him to make improvements that will help him live a healthier life. PT is not just for little kids. Pain management and relaxation strategies aren't just for little kids. Some kids actually make more progress after puberty. I hope that turns out to be the case for your son. He's got a lot to offer the world.