City of Federal Way | Request for Accommodation

City of Federal Way Request for Accommodation Federal Way Parks & Recreation

City of Federal Way Request for Accommodation Federal Way Parks & Recreation provides reasonable accommodations to people with disabilities. If you require an accommodation to participate in a Federal Way Parks & Recreation program, please complete and submit this request form. Requests should be made at least two (2) weeks prior to the date the program begins. Accommodations will be determined on a case-by-case basis. If you need assistance in completing this form or have questions, you can meet with Federal Way Parks & Recreation staff at the Federal Way Community Center. You may also call (253) 835-6926.

Date of Request

Date

Participant Name*

First NameLast Name

Age of Participant*

Name of Participant's Parent/Guardian

First NameLast Name

Home Phone*

Cell Phone

Email*

example@example.com

Address*

Address

Street Address Line 2

CityState

Zip

Has the participant previously participated in a Federal Way Recreation Program?*

YesNo

Has the participant previously requested accommodation for a program before?*

YesNo

Which Type of Program(s) is the participant signing up for? Select all that apply.

Name of Activity 1*

Start Date*

Date

Name of Activity 2

Start Date

Date

Name of Activity 3

Start Date

Date

Description of Requested Accommodation: Please detail what supports you the participant might need (e.g. sensory tools, de-escalating phrases, ASL, or AAC use) in their program settings in addition to the typically available supports in order to be successful*

For what settings is this accommodation requested? Please provide any relevant information about specific environmental settings and/or times of day related to this request:*

Additional Pertinent Information

What Comes Next?

Federal Way Parks & Recreation Staff will review accommodation requests and communicate final decisions to the participant and/or participants' guardian. Federal Way Parks & Recreation provides reasonable accommodations to people with disabilities. If you require an accommodation to participate in a program, please complete and submit this request form. Requests should be made at least two (2) weeks prior to the date the program begins. Accommodations will be determined on a case-by-case basis. If you need assistance in completing this form or have questions, you can meet with staff at the Federal Way Community Center. You can also contact staff at 253-835-6926.

Please note, the ADA does not require Federal Way Parks & Recreation to take any action that would fundamentally alter the nature of its programs or services, or impose an undue financial or administrative burden.

Individuals receiving accommodations must still comply with program behavioral expectations with or without reasonable accommodations and not present a safety concern to themselves or others.

Acknowledgements:

The participant's Request for Accommodation does not exempt him/her from following the Federal Way Parks Code of Conduct
I understand it is my responsibility to provide the Federal Way Parks & Recreation Department with the most current information on myself or my child/dependent and his/her abilities to assist in making modifications to meet his/her needs.
I understand it is my responsibility to let the Federal Way Parks & Recreation Department know if there are any changes to the information I have provided on myself or child/dependent as soon as a change occurs.
I understand that my child's/dependent's Request for Accommodation does not exempt the participant from following the City of Federal Way Parks program rules and consequences. The modifications in place may assist him/her in meeting these rules, but does not exempt him/her from following them.

Signature*

Date

Signature of Parent/Guardian

Date