Adaptive Sports Program Registration

Adaptive Sports Program Registration — Form Fields

This registration template includes 8 fields. Register for an adaptive sports program designed for participants with physical or developmental disabilities. Free to customize and use on ZenBuild.

• Participant Full Name (text, required)
• Emergency Contact Name and Phone (text, required)
• Email Address (email, required)
• Sport or Activity (dropdown selection, required) — options: Wheelchair Basketball, Seated Volleyball, Para Swimming, Bocce Ball, Archery, Hand Cycling, Other
• Disability Category (dropdown selection, required) — options: Physical/Mobility, Visual, Hearing, Cognitive/Developmental, TBI, Other
• Does the participant require a personal care attendant? (multiple choice, required) — options: Yes, No, Unsure
• Age Group (dropdown selection, required) — options: Under 12, 12-17, 18-30, 31-50, 51+
• Relevant medical or mobility notes for staff (long text, optional)