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Adaptive Sports Programs Sign Up Form
To register for the
EDD Memorial Fund Race Camp, Jan. 23-25, 2019,
at the Adaptive Sports Foundation, contact coach
Russ Funk
.
To register for the
Dream Big 5K on April 14, 2019
, click here
.
Choose a Program
*
Nov. 29, 2018: Parachute Games, Delhi, NY
Jan. 6, 2019: Basketball Clinic, Colchester, VT
Jan. 13, 2019: Basketball Clinic, Castleton, VT
Jan. 28 - Mar. 11, 2019: Yoga 6 week Session, Oneonta, NY
Select one or more programs
*
Indicates required field
Athlete's Name
*
First
Last
Parent's Name
*
First
Last
Email
*
We will not share your personal information with any third parties. We simply need to be able to reach our athlete's families, in case there are any last minute program changes.
Phone Number
*
We will not share your personal information with any third parties. We simply need to be able to reach our athlete's families, in case there are any last minute program changes.
Notes: Include age, diagnosis and any additional info you feel will be helpful as we work with your athlete (i.e. food allergies). All information is kept confidential.
*
Include the age and diagnosis of participant. Please provide any additional information you feel will be helpful for us to know as we work with your athlete.
Register
