2nd Annual Adaptive Disc Golf and Sports Clinic Registration
September 25–27, 2026 Location: Whitehall Community Park in Whitehall, Ohio Thank you for your interest in participating in the Adaptive Disc Golf & Sports Clinic! This event is designed to provide individuals of all abilities the opportunity to experience adaptive sports, learn new skills, build confidence, and connect with other athletes and community members. Throughout the weekend, participants will have the opportunity to try a variety of adaptive sports activities, receive instruction and support from experienced staff and volunteers. This registration form helps our team prepare for your participation by understanding your needs, preferred accommodations, and any adaptive equipment or support you may require. Participants do not need to select specific activities in advance. Friday - Volunteer Training Day Saturday - Sports Clinic Try- It , participants will have the opportunity to try a variety of activities including Archery, Pickleball, Cycling, Yoga, Chair volleyball, Disc Golf, Cornhole Sunday- PGA sanctioned, Adaptive Disc Golf Tournament Participants interested in competing in the Adaptive Disc Golf Tournament may indicate their interest during registration. If you attend the clinic on Saturday and decide you would like to participate in Sunday's tournament, additional registration opportunities will be available. We look forward to welcoming you to the Whitehall Adaptive Sports Weekend!
Full Name
Email
example@example.com
Birth Date
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Mobile Number
Format: (000) 000-0000.
Emergency Contact Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you require any special accommodations to participate in any of the adaptive sport clinic activites?
Yes
No
If "yes" and would like to provide additional details about accommodations you require please so below. This information is optional.
Which category best describes your disability?Single Choice (Required)
Spinal Cord Injury
Visual Impairment
Ambulatory (able to stand/move independently)
Mental Health
Other Disability
Do you know your spinal cord injury classification?
Yes
No (classification can be determined during check-in)
If Yes, please select your classification:
Class 5
Class 4
Class 3
Class 2
Class 1C
Class 1B
Class 1A
Other
Please select your vision category:
Low Vision
Legally Blind
Blind
Please describe your disability and any accommodations/supports needed:
Do you use any mobility or adaptive equipment?
Manual Wheelchair
Power Wheelchair
Walker
Cane
Prosthetic Device
Other
None
Will you be bringing your own adaptive equipment?
Yes
No
Please describe any equipment, accommodations, or assistance you may need during the event:
Will you need assistance from a caregiver, family member, or support person during the event?
Yes
No
If yes, please provide their name:
Will you be bringing a service animal?
Yes
No
Sunday Adaptive Disc Golf Tournament
Would you like to participate in Sunday's Adaptive Disc Golf Tournament?
Yes, I plan to participate
No
I am unsure and may decide after Saturday's Clinic
Are there any medical considerations our staff should be aware of?
Allergies or dietary restrictions:
Section 7: Media Release
Photo/Video Release
I give permission for photos/videos taken during the event to be used for promotional purposes by Whitehall Parks & Recreation.
I do not give permission for photos/videos to be used.
Section 8: Waiver & Signature
Participant Agreement
I understand participation in adaptive sports activities involves some level of risk and agree to follow all event safety guidelines.
Participant Signature
Submit
Should be Empty: