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Membership

2009 Ability Day
Recreation & Education Fair

Date:TBA
Time: 1:00 - 4:00pm
Location: The View Recreation Center
13500 Byars Rd
Grandview, MO 64030

Track and Field 1 pm to 2 pm
Cycling 2 pm to 4 pm
Golf, Extreme Sports Demos and Basketball 1 pm to 4 pm
Soccer 1 pm to 2:30 pm
Yoga/Gymnastics 1 pm to 2:30 pm
Baseball 2 pm to 4 pm
Swimming 3 pm to 4 pm

* Food and refreshments will be available. Please join us in promoting awareness on services available to those in need.

Individuals and families of all ages are invited to come join in the fun and learn, free of charge, what Kansas City agencies, organizations, and providers can do for them and their loved ones living with disabilities. Many fun and interesting activities are planned including: Free Giveaways, Pro Sports Mascots/Player Appearances, Face Painting, and other great activities!

Sports Camp:
Participant First Name:
Participant Last Name:
Parent/Guardian Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Age:
Date of Birth:
Sex: Male
Female
Disabilities:
Seizures:

Yes
No

Medications:
Wheelchair:

Manual
Power

Emergency Contact:
Emergency Contact Phone:
 

Sports Camp Participant Waiver of Liability

In consideration of my child (participant) being permitted to participate in the Kansas City Ability Day offered by the National Sports Center for the Disabled, on behalf of my child, myself, and anyone who obtains rights from my child or me, I hereby voluntarily waive, fully release and discharge any of the above mentioned agencies and entities, their directors, officers, employees, agents, insurers, various sponsors and paid and non-paid volunteers from liability for injury, illness, death, damage or loss to participant or participant's property arising out of or in any way related to Participant's activities at the Kansas City Ability Day.

I understand that the staff/volunteers of this camp are not allowed to administer medication or provide personal care such as feeding, toileting, and/or dressing. Anyone needing this type of assistance must make their own arrangements. I have read this form and understand its content and request registration for my child.

The City of Grandview, Parks & Recreation proudly hosts Ability Day 2008. Release Statement: I agree to indemnify, defend, and hold harmless the City of Grandview and its employees, irrespective of fault or negligence, for injury, cost or expense that I may incur while participating in Parks & Recreation activities and services. I recognize and understand that participation in parks and recreation programs requires that all participants be in good health and I assume any risk related to my health condition. With regard to my minor children listed above, I give my consent as the parent or guardian of said minor children to participate in parks and recreation activities and further give my consent for any City employee in charge of such activities to arrange for first aid or medical treatment for said minor(s) in the event of illness or injury when I am not present.

Agree: Yes
No
Photo Release
I grant permission for Participant's picture to be used in publicity or brochures related to this event.
Agree: Yes
No
Participant Name:
Parent/Guardian Signature:
Date:
By checking this box, this will act as your digital signature. I agree
Please print this page out and bring it to the camp with you.


P.O. Box 1290, Winter Park, Colorado 80482 USA ph: 970.726.1540 or 303.316.1540 fx: 970.726.4112
Denver Office: 1801 Bryant St, Ste 1500, Denver, CO 80204 ph: 303.293.5711 fx: 303.293.5448 Email:
info@nscd.org
KC Office: 4600 E. 63rd St, Kansas City, MO 64130 ph: 816.513.7571 Email:
infokc@nscd.org

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