Inclusive Recreation Programming Membership Application

Inclusive Recreation Programming

This survey is an application to be approved for the Inclusive Recreation Programming membership with The Recreation Department of The Corporation of The City of Windsor. An Inclusive Recreation Programming staff will be in contact to review your application. Completing this survey does not guarantee that the applicant will be approved for an Inclusive Recreation Programming membership.
1.Applicant's Name(Required.)
2.Applicant's Age(Required.)
3.Parent/ Guardian Name(Required.)
4.Parent/ Guardian Relation(Required.)
5.Parent/ Guardian Phone Number(Required.)
6.Parent/ Guardian Email(Required.)
7.Has the applicant participated in recreation programming previously?(Required.)
8.Does the applicant have any physical disabilities, assistive devices, and/or additional support needs?(Required.)
9.Describe any behaviours or safety concerns we should be aware about.(Required.)
10.How does the applicant interact in social settings?(Required.)
11.What is the applicant's behaviour/ response to being told no or re-directed, new environment, change of routine, participating in an activity that is not preferred(Required.)
12.Applicant's Comfortability(Required.)
Never
Sometimes
Always
N/A
Comfortable in a crowded/ loud programming environment
Comfortable in a pool environment
Comfortable in an outdoor environment
13.Does the applicant take medication?(Required.)