Little Athletics
This programme aims to provide athletics opportunities for children with a physical disability and their siblings, delivered by qualified instructors in a safe and fun environment. Athletic disciplines will include; shot, discuss, javelin, 60m race and long push. The scond 6 week block of athletics will start on Thursday 7th May 5-6pm in The Cope Foundation, Montenotte Cork
Child's Name
*
First Name
Last Name
Please include sibling Name and Age if participating in the programme
Address
*
Street Address
Street Address Line 2
County
Province
Parent Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Has your child past experience in athletics, if yes please detail.
The above information will be shared with the athletics coach.
Please specify your child's level of ability:
*
Wheelchair User
Ambulant
Other
Please provide any relevant details that would assist the coach in supporting your child / children during the sessions?
This information will be used to provide your child with a valuable and worthwhile coaching experience.
I understand I should not enter and participate unless I am medically able. In consideration of the acceptance of this entry, I assume full and complete responsibility for any injury or accident which may occur while participating in the programme.I am also aware of and assume all risks associated with participating in this programme, including but not limited to falls, contact with other participants, effect of weather, traffic, and conditions of the road. I, for myself and my heirs and executors, hereby waive, release and forever discharge the event organizers, sponsors, promoters and each of their agents, representatives, successors and assigns, and all other persons associated with the event, for all my liabilities, claims, actions, or damages that I may have against them arising out of or in any way connected with my participation in this event.I understand that this waiver includes any claims, whether caused by negligence, the action or inaction of any of the above parties, or otherwise.I confirm that I DO NOT have any of the following injuries or medical conditions that would prevent me from taking part in the activities; Spinal Injury, Epilepsy, Fractures, Heart Disease, Muscular Injury, Diabetes.
I accept the above programme waiver
I do not accept the above programme waiver
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