[Imported] Ability Skateboarding Registration

North Houston Skate Park-Ability Skateboarding Registration (4Wk Season)

North Houston Skatepark 12351 Kuykendahl Rd, Houston, TX 77067
Please complete the registration below. Once completed we will send you a confirmation email with a reminder of the date, time and what to expect for the skateboarding program. If you have any questions please reach out via email at Info@abilityskateboarding.org or call (210)514-8958.
Program Description- We provide skateboarding programs and clinics for people ages 6 and older living with autism, down syndrome, cerebral palsy, spina bifida, visual impairment and amputees. We also provide programs for people living without disabilities. Skateboarding is for EVERYONE! We do ask to know whether this is a good time to introduce skateboarding to you or your child. Though we are inclusive and adaptive we are limited on support for reoccurring behavioral scenarios. If you have any questions please reach out via email at Info@abilityskateboarding.org or call (210)514-8958.
One-Day Clinics- are 1-hour programs to introduce skateboarding/WCMX, the fundamentals and exposure to possibilities for new hobbies and recreation. These programs have 10-20 participants with all skateboards, wheelchairs, helmets and instruction provided. We rely on volunteer support to create a 1-to-1 learning scenario. Coaches lead participants and volunteers in skateboarding instruction. Safety is our number one priority. Program Structure-You or your child will be assigned to a volunteer once you arrive at the program. We will not know you/your child's skill level at the beginning of the program unless you/they are a returning participant. The Lead Coach will assess and create a plan for volunteers and participants within the first few minutes of the clinic beginning. Changes to assignments may be made to find the best fit for participants and volunteers. Please inform the Lead Skate Coach if you have concerns while you/your child is participating in the skateboard clinic.
Type a question

North Houston Skate Park Four Week Season-Starting Saturday October 4th at 10am. The program will repeat on on Saturdays with the season ending October 26th.
What is your/or your child's name?
What is your/or your child's age?"
What is your/or your child's diagnosis/disability?
What information would you like to share that will help the coaches and volunteers work well with you or your child?
Do your/or your child have any medical restrictions from the pediatrician or primary doctor?
What is parent/guardians physical address?
What is parent/guardians name?
What is your or parents/guardian phone number?
What is your or parent/guardian email address?
Rider Liability Release The undersigned hereby agrees to the following: 1. Assumption of Risk: I am the participant, Participants parent or legal guardian and, for myself and on behalf of said participants, I am aware of, understand, and assume the unavoidable risks of the inherently dangerous activity of skateboarding, which involves movement and physical exertion that could result in, but not be limited to, severe bodily injury or death. 2. Release of Liability: In consideration of Ability Skateboarding Inc. (“Ability Skateboarding”), its affiliates, {{Host Name}}, and {{Facility Name}} allowing the above named Rider’s and MY participation in the Clinic, I, for myself and on behalf of said participant, our heirs, administrators, personal representatives or assigns, hereby agree to release, indemnify, hold harmless and discharge Ability Skateboarding, its owners, agents, employees, officers, executives, directors, representatives, affiliates, assigns, {{Host Name}} and {{Facility Name}} and their volunteers, agents, employees, and officers of and from all claims, demands, causes of action, and liability, whether the same be known or unknown, anticipated or unanticipated, even if caused, in whole or part, BY THE NEGLIGENCE OF ANY OF THE FOREGOING. I further agree that I shall not bring any claims, demands, legal action and causes of action, against Ability Skateboarding and/or any of the foregoing for any economic and non-economic losses due to bodily injury and/or death and/or property damage, sustained by said Participant or ME in relation to the facility and/or operations of the Clinic, which shall include, but not be limited to, riding, driving, training, handling, or otherwise being near both conventional four-wheeled skateboards as well as the adapted and/or modified skateboarding equipment used by Ability Skateboarding at the facility during the Clinic, whether or not such skateboards and equipment are owned by Ability Skateboarding, or in the care, custody, or control of Ability Skateboarding. 3. Indemnification: If, despite this release, I, the above named Participant or anyone on said Rider’s behalf makes a claim against Ability Skateboarding or any of the foregoing, I agree to indemnify and hold harmless Ability Skateboarding and the foregoing from any litigation expenses, attorney’s fees, loss, liability, damage, or cost that they may incur due to the claim(s) made against Ability Skateboarding and the foregoing related to any of the activities or associated activities outlined above. Further, I hereby expressly acknowledge that photographs and/or videos of said Participant could be taken by parties outside the control of Ability Skateboarding and {{Host Name}} and {{Facility Name}} in connection with participating in the Clinic. I acknowledge that Ability Skateboarding and {{Host Name}} and {{Facility Name}} have limited or no control over such activities of third parties and have no control over any editing and/or use of such photos and/or video footage. I understand that data collected from this program will be used to help the clinic operate effectively relative to appropriate progressions, skateboarding and behavior management. I acknowledge that I may be contacted in the future for follow up information pertaining to rider progress, status or for other requests to support the future development and success of the program. Self or Parent/Legal Guardian Signature_ By typing my name below, I acknowledge that this is and will be considered my electronic signature. First Name Last Name
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North Houston Skate Park-Ability Skateboarding Registration (4Wk Season)