Disability Taster Session - Participant Information Form

Disability Taster Session - Participant Information Form

All fields are required unless otherwise stated.

Parent / Guardian Contact Information

Please enter contact information for the parent or guardian. If no parent or guardian then please put "N/A".

Participant Information

Please enter the participant details.

Can you swim or float independently in deep water?
Disability Information

Please provide as much detail as you can, this will help us prepare for the water ski sessions. 

Is your disability acquired or congenital?
Do you have a cognitive impairment? (this can mean when a person has trouble remembering, learning new things, concentrating, communicating, or making decisions that affect their everyday life)

Optional.

How would you rate your BALANCE? (1 being the worst and 5 being the best)
How would you rate your UPPER BODY STRENGTH? (1 being the worst and 5 being the best)
How would you rate your GRIP? (1 being the worst and 5 being the best)
How easy is it to sit independently without support? (1 being difficult and 5 being easy)
Mobility
Do you suffer from asthma?
Do you suffer from epilepsy?

Optional.

Optional.

Taster Session

Please indicate your availability for a taster session

Please confirm the date and venue for the taster session you are able to attend
Declaration

I declare that I have completed this application form myself and, to the best of my knowledge, the information I have given is true and correct and I give my consent to BWSW to process this information in accordance with the Data Protection Act 1998. Waterskiing and associated tow sports can be dangerous. By signing digitally below, I assume any risk of harm or injury which might occur to the participant due to participation in the event or activity. I release British Water Ski & Wakeboard and associated clubs from all liability, costs and damages which might arise from participation in the activity. 

Declaration
Verification

Please click the box to indicate you are a human rather than an automated system completing this form.

Last step

Please submit your information.