Volunteer Profile

All volunteers need a current volunteer profile in order to volunteer. Please update every season.

An up-to-date profile will help our event organizers plan safe and fun events. A complete profile will also quicken your event check-in process.

Please contact info@adaptivesportsconnection.org or call 614-389-3921 for any questions.

 


 

PERSONAL INFORMATION

 

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EMERGENCY CONTACT

Please provide a contact who will be available during the time you are at a Adaptive Sports Connection event.

 

 


 

PARENT/LEGAL GUARDIAN INFORMATION

 

YES
NO

 

Complete this section if the volunteer is a minor or legally incapacitated.

 

 


 

MILITARY ONLY

 

 

If you have done Military Service, then please complete the next section.

 

   

YES
NO

   

Air Force
Army
Coast Guard
Marine Corps
National Guard
Navy
Other

   

   

YES
NO

   

YES
NO

   

 


 

MEDICAL INFORMATION

 

YES
NO

   

YES
NO

   

YES
NO

   

YES
NO

 


 

INTERESTS AND SKILLS

 

   

   

YES
NO

   

   

   

Computers/Technology
Event Planning
Financial
Fundraising
Landscaping
Legal
Manual Labor
Marketing
Mechanical
Medical
Office/Admin
Other

   

   

Administrative (office, data entry, clerical, etc.)
Alpine Skiing
Amtryke
Boat Driver
Cycling
Climbing
Dayton/Miami Valley Volunteers
Event Planning
Exhibits and Presentations
Fundraising
Kayaking
Leadership
Sailing
Stand Up Paddle Boarding
Trailer Driver
US Paralympics Team
Veterans Events
Water Sports/Wounder Warrior
Week Daytime Volunteers
Winter Sports Challenge

   

 


 

DISABILITY INFORMATION

If you have a disability, please fill out this section. If no disability, then continue to the end of this form and select the Submit button.

 

YES
NO

   

   

   

Able-bodied
Amputee - arm
Amputee - multiple
Amputee - above knee
Amputee - below knee
Amputee - leg
Aspergers
Autism
Cardiac/Heart condition
Cerebral Palsy
Diabetes
Down syndrome
Hearing Imparement - Total
Hearing Imparement - Partial
Multiple Sclerosis
Muscular Dystrophy
Post Traumatic Stress Disorder
Respiratory condition
Spina Bifida
Spinal Cord Injury
Stroke
Traumatic Brain Injury
Visual Impairment - Total
Visual Impairment - Partial
Other

   

   

   

AFO/Leg braces
Ambulatory
Cane
Crutches
Manual wheelchair - part time
Manual wheelchair - full time
Power wheelchair - part time
Power wheelchair - full time
Prosthetics
Walker
Other

   

   

Limited range of motion in any limbs
Difficulty with balance
Wear any sort of spinal stabilization
Any type of paralysis
Sensitivity to hot or cold
Difficulty speaking or communicating
Difficulty remembering or following directions
Emotional and/or behavioral concerns we should know about
Cognitive or developmental delay
Heart/cardiac condition
Respiratory condition

   

 


 

FINAL COMMENTS

 

   


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