2026 WATER SPORTS Participant Information Form

2026 WATER SPORTS Participant Information Form
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth
Primary Disability & Date of Onset
Secondary Disability if applicable. Please provide details.
Are you a military veteran?
Emergency Contact
Beside yourself as the Participant, how many others will be joining you during the clinic? [Needed for determining people having lunch.]
T-Shirt Size for the Participant.
Water Ski Schedule Options

Participant may choose up to 2 full days of skiing
NOTE: Sit skiers may not fit comfortably into the ski seat if they do not fit into an 18" wide wheelchair
Monday July 13th
Tuesday July 14th
Wednesday July 15th
Thursday July 16th
Which method do you choose for water skiing lessons?
If more days become available, do you wish to be considered?
Height
Weight
Choose your most frequent mode of mobility:
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)?
Previous water ski experience and equipment used (since disability):
Other sports you participate in on a regular basis:
Are you currently under a doctor’s care for any condition? (if yes, explain):
Are you allergic to anything? (i.e., medication, food, sun) (if yes, explain):
Do you need to limit your activities for any reason? (if yes, explain):
Do you have seizures?
Do you wear a back brace or have Harrington Rods? Yes or No (If YES, describe)
Are there any special medical conditions the staff should know about (asthma, diabetes, heart trouble, etc.)? Yes or No (If Yes, explain):
List all medications you are currently taking:
Space is reserved ONLY when PAYMENT is received!
Please complete this form and pay your registration fee to "THREE RIVERS ADAPTIVE SPORTS" by July 3, 2026
Join Us!

TRAS Annual Membership Fees: Individual = $20 / Family = $30

Visit Our Website for Membership Here
How will you be paying your participation fees?
If using PayPal or Venmo, please provide the Name of the person making the payment.
Amt Paid
Amt Owed
Member
Liability/Media Signed
- Make checks payable to: Three Rivers Adaptive Sports.
- Mail to: Marcia Logan - 5 Canterbury Road - Pittsburgh PA 15202
We look forward to seeing you there! Remember to make your PAYMENT!

By Clicking the 'Submit' button, you will be taken to the REQUIRED Liability Waiver Form.
Should be Empty:

2026 WATER SPORTS Participant Information Form

Water Ski Schedule Options

NOTE: Sit skiers may not fit comfortably into the ski seat if they do not fit into an 18" wide wheelchair