Family watersports day application

Family Watersports Day

@ Edge Adaptive Sports Centre, Staines
FOR ADULTS WITH A DISABILITY

Learn to waterski with your family, share inflatable rides, try out paddlesports together

Sat 2 Aug

10am - 4pm.

Access Adventures aims to be as inclusive as possible, but there are some limitations for each activity to ensure safety. Contact us with any concerns.
Name of the individual with a disability*

First NameLast Name
Email*
example@example.com
Phone number*
Address (optional)

Street Address

Street Address Line 2

CityCounty

Postcode
D.O.B.*

DayMonthYear
Date
MaleFemale
Suggested donation towards this camp per person:

£40 (subsidised) - £80 (actual cost)

The lower price listed is heavily subsidised for those in financial need. Please donate what you can afford within the price range. Contact us if you have any concerns.

The donation covers waterskiing/ inflatable rides, plus lunch.

Accommodation available on request

Further info on the disabled participant:
Please tell us what your primary disability is*
AcquiredCongenital
If acquired, what year was your accident/ injury?
If spinal cord injury, please provide further info
Level of SCI
CompleteIncomplete
If other disability, please provide further info
YesNo
Please describe any cognitive impairment
WalkerWalker with aidManual wheelchair userPowerchair user
SeatedStandingNot sure
YesNo
Weight (although there is not an official weight limit, we might contact you if we have concerns about available equipment or instructor abilities)*
How many non-disabled family members would you like to bring to participate in the activities?
Adults (in addition to yourself)*
Children*
YesNo
Please tell us of anything else we should be aware of
Where did you hear about us?*
We would like to contact you with information about our services. This may include details on camps, volunteer opportunities, how you can donate, fundraising events. We won't share your information with others without your permission, except in an emergency. Your data will be used and stored in accordance with the 'General Data Protection Regulation 2018' Please refer to our website for our full privacy policy
EmailPhonePost
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Family Watersports Day