Adaptive/Disabled Sports League Registration
Participant Information
First Name
Last Name
Date of Birth
Gender
Male
Female
Non-binary
Prefer not to say
Other
Address
City
State/Province
Zip/Postal Code
Email
Phone Number
Emergency Contact
Name
Relationship
Phone Number
Disability & Needs
Type of Disability
Required Accommodations or Supports
Relevant Medical Information
Sports Preferences
Select Preferred Sports
Wheelchair Basketball
Adaptive Swimming
Sledge Hockey
Boccia
Goalball
Adaptive Track & Field
Other
Experience Level
Beginner
Intermediate
Advanced