Adaptive Buddy Log
Name
*
Candidate email
*
example@example.com
Adaptive Level One Course Location
*
Cardrona
Remarkables
Mount Hutt
Whakapapa
Not booked in yet
Adaptive Level One Course Examiner
Date (First day of the exam)
-
Day
-
Month
Year
Date
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Session One
Date
*
-
Day
-
Month
Year
Date
Location/ Adaptive Program
*
Session One - Role as on snow support - please select
*
Buddy - cognitive disability
Buddy - sensory disability
Buddy - physical disability
VI guiding
Bi ski blocking & liftloading
Biski bucketing
Biski tethering
Mono ski assist
Other
Session Length
*
Level of Guest - please select
*
First timer
Beginner
Intermediate
Advanced
Ability and support needs
*
Equipment used - please select
*
Mono ski
Bi ski
Stand up outriggers
Links & tethers
Headsets/ Intercoms
No equipment needed
Other
Comments
Name of Adaptive Coordinator/ Supervisor
*
Confirmed by Adaptive Coordinator/ Supervisor
*
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of
Save and continue later
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Session Two
Date
*
-
Day
-
Month
Year
Date
Location
*
Session Two - Role as on snow support - please select
*
Buddy - cognitive disability
Buddy - sensory disability
Buddy - physical disability
VI guiding
Bi ski blocking & liftloading
Biski bucketing
Biski tethering
Mono ski assist
Other
Session Length
*
Level of Guest - please select
*
First timer
Beginner
Intermediate
Advanced
Ability and support needs
*
Equipment used - please select
*
Mono ski
Bi ski
Stand up outriggers
Links & tethers
Headsets/ Intercoms
No equipment needed
Other
Comments
Name of Adaptive Coordinator/ Supervisor
*
Confirmed by Adaptive Coordinator/ Supervisor
*
Upload any files if required
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save and continue later
Submit
Session Three
Date
*
-
Day
-
Month
Year
Date
Location/ Adaptive Program
*
Session Three - Role as on snow support - please select
*
Buddy - cognitive disability
Buddy - sensory disability
Buddy - physical disability
VI guiding
Bi ski blocking & liftloading
Biski bucketing
Biski tethering
Mono ski assist
Other
Session Length
*
Level of Guest - please select
*
First timer
Beginner
Intermediate
Advanced
Ability and support needs
*
Equipment used - please select
*
Mono ski
Bi ski
Stand up outriggers
Links & tethers
Headsets/ Intercoms
No equipment needed
Other
Comments
Name of Adaptive Coordinator/ Supervisor
*
Confirmed by Adaptive Coordinator/ Supervisor
*
Upload any files if required
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save and continue later
Submit
Session Four
Date
*
-
Day
-
Month
Year
Date
Location
*
Session Four - Role as on snow support - please select
*
Buddy - cognitive disability
Buddy - sensory disability
Buddy - physical disability
VI guiding
Bi ski blocking & liftloading
Biski bucketing
Biski tethering
Mono ski assist
Other
Session Length
*
Level of Guest - please select
*
First timer
Beginner
Intermediate
Advanced
Other
Ability and support needs
*
Equipment used - please select
*
Mono ski
Bi ski
Stand up outriggers
Links & tethers
Headsets/ Intercoms
No equipment needed
Other
Comments
Name of Adaptive Coordinator/ Supervisor
*
Confirmed by Adaptive Coordinator/ Supervisor
*
Upload any files if required
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save and continue later
Submit
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