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All Abilities Registration Form

All Abilities Tennis Program

Tennis for All Abilities

The Whole Person’s Adaptive Sports Program is hosting one 6-week session of our All Abilities Tennis program in 2021.

Mondays, March 1-April 5 | 7:00-9:00 pm
Northland Racquet Club, 306 Tennis Ct, NKC, MO

$5.00 weekly participation fee (Cash/Check/Card payment due before play; scholarships are available to those who qualify)

The sessions are open to all with a physical or intellectual disability. We have individuals who come out who have multiple sclerosis, degenerative disk disease, spinal cord injuries, cerebral palsy, etc. If you can swing a racquet, you can play!

We are teaching individuals basic racquet techniques, proper forehand, proper backhand, and mobility if they are able to do so. These beginner sessions are fun and interactive, involving simple techniques such as dropping or bouncing a ball to the participants as they try to properly make contact with the tennis racquet and the ball.  Sessions are not focused on playing an actual match.
 

First Name *
Last Name *
First Name *
Last Name *
(Required if participant is under 18 years old)
First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *
Participant's Gender
Participant's Disability
Select all that apply.
Does participant use a wheelchair?
If "Yes", what type of chair?
Participation Goal(s)
Select all that apply.
Known Allergies of Participant
Select all that apply.
Does the participant have a history of seizures?
Does the participant have a history of becoming dizzy or passing out with exercise?
Participant's Exercise Symptoms
Select all that apply.
Participant's Heart Health
Select all that apply.
Has anyone in your family had a sudden death or heart attack before 50 years of age?
Behavioral Issues of Participant
Select all that apply.
Psychosocial Behaviors of Participant
Select all that apply.
Is participant sensitive to Sensory Overstimulation?
If you answered "Yes," please select all possible causes that apply.
How does participant prevent Overstimulation?
Select all that apply.
Communication
(i.e., expressing hunger or thirst, need for a break)
Participant's Preferred Learning Style
Select all that apply.
Is participant able to process information in a timely manner?
Is participant able to follow 1-2 step directions?
History of fracture, sprains or strains of participant.
Select all that apply.
Dexterity: Pain, stiffness, loss of function in the following.
Select all that apply.
Participant's Visual Impairments/Vision Issues
Select all that apply.
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Payment Option
Credit Card Information
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Your credit balance will cover
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Your bank account will be charged