2025 Allegheny River Rumble PARTICIPANT Registration Form

2025 Allegheny River Rumble PARTICIPANT Registration Form
Last Name*
First Name*
Gender*
Birth Date*

MonthDayYear
Date
Address*
City*
State*
Zip*
Cell Phone*
Home Phone*
E-mail*
Have you been in the military?
Disability Type
Disability Onset Date
Height*
Weight*
Skiers must be 200lbs or less and must be able to fit into an 18" wide wheelchair.
Choose your most frequent mode of mobility:*

WalkingWalking with an Assistive DeviceManual WheelchairElectric Wheelchair or ScooterOther
If 'Other' please specify.
If face down in the water wearing a life-preserver are you able to roll onto your back independently (this is mandatory and you will have to pass a roll test prior to skiing)?
Are you able to perform the roll-over maneuver?*

YesNo
Previous water ski experience and equipment used (since onset of your disability)*
List other sports you participate in on a regular basis.*
Are you currently under a doctor's care for any condition? If yes, please explain.*
Are you allergic to anything [i.e. food, sun, medication]? If yes, please explain.*
Do you need to limit your activities for any reason? If yes, please explain.*
Do you have seizures?*

YesNo
Within the past six months, have you had any injury to, or surgery on your back, spinal cord, or hips? If yes, please explain.*
Do you wear a back brace or have Harrington Rods? If yes, please describe.*
Are there any other special medical conditions TRAS should know about (asthma, diabetes, heart trouble, etc.)? If yes, please explain. *
List medications you are currently taking: *
Provide an Emergency Contact Name, Phone number, and Relationship to you.*
Registration Deadline is August 1, 2025.

This includes Registration and Waiver Forms.

Carry the signed GTWSC Waiver Form with you to the event.

Call the TRAS Line (412) 848-8896 with questions or additional information.
By Clicking 'Submit' you will be taken to the required TRAS Liability Waiver Form.
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