Adaptive Kickball Workshop : Workshops : Adaptive Sports : Other Services : The Whole Person

Adaptive Kickball Workshop

The Whole Person and Kansas City Parks and Rec are offering an Adaptive Kickball Interactive Workshop for people of all abilities on Saturday, October 26, 2019 from 2:00-4:00 pm at 9th and Van Brunt Park in Kansas City, Missouri.

The Adaptive Kickball Workshop is a program for individuals of all abilities. This will be a non-competitive workshop that can be easily adapted to an individual’s abilities. All are welcome, but the participants that will benefit most from this programs are ones that can't physically participate in a typical kickball game, can follow 2-step directions from a verbal prompt, and are able to control aggressive behavior. The program will focus on the basic skills of the game in a non-competitive atmosphere.

Goals of the workshop:

To introduce the game of kickball to individuals with disabilities
To practice fundamental motor skills
To promote inclusion
Allow individuals with disabilities to have fun in a relaxing environment
Allow individuals to experience success as individuals and as a team
To assess the communities interest in creating a fun, but competitive kickball league for youth & adult divisions.

Reservations are required:
To register, fill out the form below.
•   Registration Deadline: Noon on 10/25/19
•   $10.00 fee can be paid at registration or at the event
•   Must be age 5 or older. Participants under 18 must be accompanied by a parent or guardian.

For more information, contact:
Dr. Melissa Burns, PsyD, Adaptive Sports and Recreation Coordinator
mburns@thewholeperson.org

816-627-2220

2019 Adaptive Kickball Workshop Registration

We will accept registrations for this date from the first 20 participants to sign up below. After that point, we will collect information in the registration form for an overflow list, who will be contacted if an opening becomes available or a new date is added for a second Adaptive Kickball Workshop.

Parent/Guardian Name

First Name *

Last Name *

Phone

Mailing Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

County

Participant’s Name

First Name *

Last Name *

Participant’s Birth Date

Month

Day

Year

4x8sriiccey8

Participant’s Gender

Participant’s Disability

If you selected “Other” or need an accommodation, please specify

Disability Onset Date

Month

Day

Year

Does the participant have mobility issues?

If yes, what does the participant utilize for mobility?

If you selected “other”, please specify

If you utilize a power chair as a means of mobility, what is the model?

If you utilize a power chair as a means of mobility, what is the width of the chair?

Does the participant have any upper extremity fine motor/dexterity issues?

If yes, please explain in detail

Does the participant have visual impairments?

If yes, how severe? Please specify below

Is the participant able to follow one- to two-step instructions, given direction?

Emergency Contact Name

First Name *

Last Name *

Emergency Contact Phone

If participant is under age 18, a parent or guardian must stay for the event. Participant/parent/guardian is responsible for taking appropriate precautions to avoid weather-related harm.

Adaptive Kickball Workshop Payment Options

Pay for the workshop below or indicate payment at the event.

I will pay $10.00 now for the event.
I will pay $10.00 at the event.

Payment Option

Pay Now
Pay Later

Credit Card Information

Cardholder Name

Credit Card #

Expiration Date

Security Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged