TRACKIE - Online registration for events, tournaments, clubs and organizations...

First Name *

Last Name *

Gender *

Male Female Non-binary

Date of Birth (YYYY *-MM-DD)

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Hometown *

Please describe your disability. (This information will help us bring the appropriate equipment for you to use during the session. If you are a daily wheelchair user and know your seat width, please include this information) *

Which sport(s) are you interested in trying? Select all that apply *

Do you have any previous experience with trying parasports? If yes, please list which sports. *

Yes No

How did you hear about the event (select all that apply)? *

I have read and agree *
ROWAN’S LAW – CONCUSSION AWARENESS

I have read and agree *
Membership Agreement & Release of Liability

I have read and agree *
Sharing of Information

I have read and agree *
Consent to Use Image

Typed digital signature (type your name exactly as entered above "registrants name") *

WC Sport x Para Athletics x Boccia Try It Event

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Membership Type