• #BREAKINGDOWNBARRIERS TO OUTDOOR SPORT AND RECREATION

    www.adaptiveadventures.ca
  • Community Recreational Initiatives Society

  • email: admin@adaptiveadventures.ca

    835 Bay Ave. Kelowna, BC, V1Y 7K2

  • Participant Health and Medical Questionnaire

  • The following information is used to provide CRIS personnel with an assessment of each participant's medical history for safety purposes. This information will remain confidential. Please be as detailed as possible. It is your responsibility to update CRIS personnel of changes in your health/meds/etc. that occur after filling out your Health and Medical Record.

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  • Emergency Contact

  • Health and medical conditions

  • Mobility

  • **THE INFORMATION PROVIDED ON THIS FORM IS ACCURATE TO THE BEST OF MY KNOWLEDGE AS OF***

  • Clear
  • Clear
  • Adaptive Adventures - Making the outdoors accessible for people of all abilities

  • Should be Empty: