Participant Registration - Ability Olympics Spring 2017
April 15, 2017
Email address
Participant Name
Your answer
Age
Your answer
Parent(s) or Legal Guardian(s)
Your answer
Relationship
Your answer
Address
Your answer
Phone Number
Your answer
Emergency Contact and Number (for day of event)
Your answer
Allergies
Your answer
Does the participant have an allergy to a bee sting?
Does the participant have asthma?
Type of Disability
Your answer
Physical Limitations
Your answer
Cognitive Challenges
Your answer
Behavioral Challenges
Your answer
Additional Information for Staff
(Information and tips about the participant for the mentor working with them that day)
Your answer
How many individuals will be attending (Participant + Guests)
If you would like to register siblings to participate please complete another form.
Your answer
How did you hear about this event?
Your answer
T-shirt Size (Additional t-shirts will be available for purchase at $10 each)
Receive program information through
**DISCLAIMER: James Madison University and its personnel are not responsible or liable for any injuries that take place during the program. We reserve the right to use photography during the program for promotional use.
Parent or Legal Guardian Signature and Date Below
Your answer
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