Please attach seizure action plan. All STRIDE participants need to be seizure-free for 6 months.
If multiple allergies, what for?
(e.g. wheelchairs, splints, walk aids, swim aids, etc.)
(e.g. TBI, amputation, seizure disorder, PTSD, etc.)
(If Other, please specify)
(if other allergies, please list)
(If 3 OR 4 was marked for any above, please describe)