Parks, Recreation & Cultural Resources

The Town of Wake Forest's Parks, Recreation, and Cultural Resources Department is collecting information to help us to better serve individuals with disabilities in our community. Please complete the information below based on an individual (multiple entries may be appropriate to represent multiple individuals). Additional formats available upon request.

In accordance with the requirements of title II of the Americans with Disabilities Act of 1990 ("ADA"), the Town of Wake Forest will not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities. 

Effective Communication: Town of Wake Forest will generally, upon request, provide appropriate aids and services leading to effective communication for qualified persons with disabilities so they can participate equally in Town of Wake Forest programs, services, and activities, including qualified sign language interpreters, documents in Braille, and other ways of making information and communications accessible to people who have speech, hearing, or vision impairments.

Modifications to Policies and Procedures: Town of Wake Forest will make all reasonable modifications to policies and programs to ensure that people with disabilities have an equal opportunity to enjoy all of its programs, services, and activities.  For example, individuals with service animals are welcomed in Town of Wake Forest offices, even where pets are generally prohibited.

Anyone who requires an auxiliary aid or service for effective communication, or a modification of policies or procedures to participate in a program, service, or activity of  Town of Wake Forest  should contact the office of  Mickey Rochelle, ADA Coordinator, 317 South Brooks Street, 919-435-9455, (mrochelle@wakeforestnc.gov) or Kelly Schurtz, Specialized Recreation Specialist, 919-556-7093, (kschurtz@wakeforestnc.gov) as soon as possible.

The ADA does not require the Town of Wake Forest  to take any action that would fundamentally alter the nature of its programs or services, or impose an undue financial or administrative burden. 

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* 1. Gender

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* 2. What age group best represents the participant's age?

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* 3. Please check the following that most accurately describes the participant's diagnosis.

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* 4. Is the participant currently enrolled in school?

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* 5. What type of program would the participant prefer?

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* 6. Does the participant currently participate in specialized recreation programs or Special Olympics Wake County programs?

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* 7. What factors may prevent the participant from attending Specialized Recreation Programs? (click all that apply)

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* 8. What days of the week are the participant most likely able to participate in Specialized Recreation programs? (check all that apply)

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* 9. What time(s) of the day is the participant most likely able to participate in programs? (check all that apply)

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* 10. Which programs would you like to see the Town of Wake Forest offer? (check all that apply)

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* 11. If the Town offered parent/guardian workshops, which topics would be most desired? (check all that apply)

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* 12. What is the preferred method for the participant, parent, or guardian to receive information on Specialized Recreation opportunities being offered by the Town? (check all that apply)

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* 13. If you are interested in being added to the Town's Specialized Recreation email list and receiving information on Specialized Recreation opportunities offered by the Town, please share your contact information here.

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* 14. Please share any additional comments here.

Thank you for your feedback!

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