SnowSports Training

Adaptive Information Form

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SnowSports Training Adaptive Client Participation Form

Demographic Details



























Passport Details (only needed if we are organising your holiday)


Do you hold a British passport?













Resort Details














Do they require ski/board lessons?

* Please note: If you are bringing carer/s and they would like to ski/board with you please can you ensure that they are competent red run skiers/boarders. If not, it is strongly recommended that they have lessons  in order to do this. Also, please be aware that if you are to be in a sit ski we will require an additional helper/carer to ski with us. We can help provide this and will contact you shortly if necessary.




Your Disability








Was your disability caused by an accident?




Communication skills


























Adaptive Ski Lessons









Mobility Needs


Please check all that you use

 



Can you manage stairs both up and down?


Can you transfer to a chair/bed/toilet without specialist equipment?






Do you require any orthosis/prosthesis?





Care Needs


Do you have carers at home?




Washing















Do you have any episodes of urinary incontinence?


Do you have any episodes of faecal incontinence?




Vision




General Information


Please give details


Health















Adaptive Equipment


Please note that a ski helmet is compulsory for all Adaptive lessons and that you will be required to wear a one, you can bring your own or hire a one in resort.Will you be bringing any of your own equipment?  If so, please state what you intend to bring with you.







If you have been skiing before?Did you use outriggers?







Consent for Publicity and Photos


I hereby authorise and give full consent for SnowSports Training Adaptive School to copyright or publish all photographs, videotapes and films in which I appear whilst participating in lessons.  I further agree that SnowSports Training Adaptive school may transfer, use, or cause to be used, these photographs, videotapes or films for any exhibitions, publications, public displays, publication commercials, art and advertising purposes without limitation or reservation.

Applicant/Next of Kin


Signed/Name *





Please note, all the information given on this form will be given to the instructor and helper (if a helper is required).  This is for your safety and well being.  You will be notified if a helper is required.It is imperative that the information you have given us is correct. We reserve the right to cancel lessons if the information you have given us is misleading.Data collection
We would like to keep you informed about fundraising events, news and developments of SnowSports Training.  Please advise us if you would prefer not to be contacted

Thank you. We look forward to skiing with you soon!