Try It Day

MHASR Try It Day Form

Join us for free on Thursday, December 9 from 5:15-6:15pm at the Family Leisure Centre for Wheelchair Sports.

Athletes 17 and under do not need to show proof of vaccination or negative test. Spectators 12 and over do need to show proof of vaccination or a negative test as according to the City of Medicine Hat's Restriction Exemption Program.

Athletes need to be masked until they are in their wheelchair on the playing surface. Spectators must stay masked at all times.

If you have any questions please direct them to Tara at 587-253-5300 or tara@parasportsab.com

Participant Information

* Indicates required field

Name of Participant *

First

Last

Email for participant/caregiver *

Phone Number of participant/caregiver *

Birthdate of Participant (Month/Day/Year) *

Address of Participant *

Line 1

Line 2

City

State

Zip Code

Country

Please note that by submitting this application form you are agreeing to the terms and conditions of the waiver

Check this box to confirm you have read and agree to the Waiver presented at the top of this page. If you are a parent or legal guardian please check this box to confirm that you have read, understand and agree to execute the agreement on behalf of child/ward *

Photo Release: I hereby grant Medicine Hat Adaptive Sport and Recreation, including its employees, agents, assigns, or other third partners (Paralympic Sports Association, Wheelchair Sports Alberta) may authorize on its behalf, the nonexclusive right to:· Photographs and videos taken at any MHASR events to be used in: ·Social Media (Facebook, Twitter, instagram) ·Website promotions ·Promotional and informational distributions

Select One *

Is there any other information that we should know to help you have a successful experience at the try it day? *

Submit