Uniquely U Participant Registration

Thank you for registering for the Uniquely U Special Needs Event on Saturday, September 19. This event provides a fun, safe, and inclusive experience for individuals with special needs and their families. Please complete the form below.

How many participants are you registering today?

1

2

3

4

Section 1: Parent/Guardian Information

Parent/Guardian full name

Email address

Phone number

City of residence

Section 2: Participant Information

Participant full name

Date of birth

Month

Day

Year

Age

Gender

Male

Female

Section 3: Accessibility & Support Needs

Does the participant require accommodations?

Allergies or medical concerns

Mobility needs

Sensory considerations

Section 4: Emergency Contact

Emergency contact name

Relationship

Emergency contact phone number

Section 5: Event Information

Will family members attend?

Yes

No

Number of family members attending

How did you hear about Uniquely U?

Section 6: Permissions

I understand this is a community event.

I give permission for photographs and videos taken during the event to be used by The Vermilion Reach Group for promotional purposes.

Section 7: Additional Information

Additional comments or special requests