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Program Registration

Before you or your child can participate in STRIDE Adaptive Sports programs, you will need to fill out the following registration form.

 

Please provide all requested information. Keep clicking on "Next" until you reach the "Submit" button. Your information will not be sent to STRIDE until you click on the "Submit" button.

 

If you have any questions or need help with the form, please contact Megan Evans, Program Director, by emailing mevans@stride.org or call 518-598-1279.

  
 
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.)
    
 
 
 
   
(List if any)
(List if any)
     
(If Other, please specify)
  
  
    
(if other allergies, please list)
   
   
   
   
   
   
   
   
   
   
   
   
(If 3 OR 4 was marked for any above, please describe)
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