Accommodation Requests

Contact Information

First Name*

Last Name*

Parent Name (if under 18)

Phone Number*

E-mail Address*


Activity or activities that you would like to participate in (check all the apply):*

Swim Lessons
Recreational Swimming
Strength & Conditioning
Fitness Assessment
Personal Training
Group Fitness
Small Group Training
Massage Therapy
Climbing Wall
Disc Golf
Challenge Course
Open Recreation
Adaptive Sports
Other (please list):

Date Requested*

Time Requested*

Duration of Activities*

If you require accommodations in order to participate, please contact Please identify barriers that may impact your time at the Rec Center below:

Please check if you will be bringing a Personal Care Attendant with you:

Please rate how you feel about using the RecSports facilities and programs*

These activities can include accessing and exiting the facilities, participation in programs, and participation in cardio and weight equipment.

5. Completely comfortable using without accommodation support.
4. Could utilize fairly effectively without accommodation support.
3. Could utilize, but not as effectively as I could with accommodation support.
2. Could utilize few areas without accommodation support.
1. Could not utilize without accommodation support.

Additional Requests