Participant Registration Form 2

SPRING 2022 PARTICIPANT REGISTRATION INFORMATION

This is for YC PARTICIPANTS who have a physical disability.

DEADLINE: Forms are due on March 21.

ALL participants are required to complete a LIABILITY RELEASE form prior to attending programs. If you already completed one for 2022, you do NOT need to complete another one.

ALL participants are required to have a MEDICAL FORM on file prior to attending programs. If you already completed one and there are no changes, you do NOT need to complete another one.

This is NOT your official schedule. Youth Challenge will send e-mail confirmation of the calendar once your selections have been reviewed AFTER the deadline.

SUGGESTED DONATIONS: YC suggests a donation of $10 per program during this season. Suggested donation amounts can be paid at your convenience. Again, this is a suggested donation and no participant will be denied programming for lack of monetary payment.

TRANSPORTATION: YC is able to provide transportation for most programs. There is an option to provide detailed transportation information (such as alternative address or specific instruction for staff/drivers).

**Please complete the ENTIRE registration form and click “submit” at the end. For REGISTRATION QUESTIONS, contact:
Mackenzie Vecchio, Director of Program Services, at [email protected] or (440) 892-1001 x 18.

PARTICIPANT INFORMATION
DEMOGRAPHICS

Youth Challenge receives substantial funding from Foundations and Community Partners. Often, they require certain demographic and income data to ensure that their grantees meet requirement set forth in specific funding guidelines. If you are comfortable doing so, please complete the following section which includes questions relating to household income, education, and race/ethnicity. This section is not required and information provided will not be shared.

PROGRAM SIGN-UP

Programs are listed chronologically by weekday. Please pay close attention to location and age restrictions. Check the programs you wish to attend. Then, check your transportation preferences and add any transportation details you wish to share.

MONDAY
SLED HOCKEY - EAST
Open to East side participants ages 8-18. Program time is 4:30-6pm Gilmour Academy Ice Arena, Gates Mills. Participants must have good upper body strength and control to sit upright independently in a hockey sled. Round-trip transportation provided.
HIP HOP ART - EAST
Open to East Side participants ages 8-18. Program time 4-5:30pm at HP, Shaker Hts. Round-trip transportation provided.
Monday transportation
TUESDAY
SLED HOCKEY - WEST & LC
Open to West side & Lorain participants ages 8-18. Program time is 4-5:30pm at N. Olmsted Rec Center. Participants must have good upper body strength and control to sit upright independently in a hockey sled. Round-trip transportation provided.
GOLF - WEST & LC
Open to West side & Lorain Participants, ages 8-18. Program time is 4-5:30pm @ N. Olmsted Golf Course. Limited transportation provided.
ARCHERY & CYCLING - EAST
Open to East side participants ages 8-18. Program time 4-5:30pm @ Forest Hills Park, Cleveland Hts. Round-trip transportation provided.
Tuesday transportation
WEDNESDAY
OUTDOOR ADVENTURE SPORTS TRY-IT EVENT
Open to all participants and families. Program time 4:30-6:30pm @ Wallace Lake, Berea. Come celebrate the purchase of adaptive kayaks, hiking chairs, and fishing equipment and try the different activities to kick-off the YC Adventure Sports initiative. Round-trip transportation provided for 8-18 year old participants.
FISH, BOAT & GAMES - LC & WEST
Open to West Side & Lorain participants ages 8-18. Program time 4-5:30pm at Miller Rd Park, Avon. Round-trip transportation provided.
Wednesday transportation
THURSDAY
SING & SIGN CHOIR - WEST & LC
Open to West Side & Lorain participants, ages 8-18. Program time is 4-5:30pm at YC. Round-trip transportation provided.
COURT SPORTS - WEST & LC
Open to West Side & Lorain participants, ages 8-18. Program time is 4-5:30pm at YC. Round-trip transportation provided.
KICKBALL - ALL
Open to all participants ages 8-18. Program time 4-5:30pm @ Clague Park, Westlake. Round-trip transportation provided
Thursday transportation
FRIDAY & SATURDAY
ROCK CLIMBING - EAST
For ambulatory East side participants ages 8-18. Must have good upper and lower body control. Program time 4-5:30pm @ Shaker Rocks. Round-trip transportation provided.
ROCK CLIMBING - LC & WEST
For ambulatory Lorain & West side participants ages 8-18. Must have good upper and lower body control. Program time 4:30-6pm @ On The Rocks Climbing, Elyria. Round-trip transportation provided.
ARTS SHOWCASE
Join us for a fun-filled celebration of art! Participants and volunteers have been hard at work making masterpieces and honing their artistic talent. Programs such as Hip Hop, Sing & Sign Choir, and printmaking give these young people with physical disabilities an opportunity to express themselves creatively while working alongside their peers to make something truly unique. Program time 5-6:30pm @ YC. Round-trip transportation provided, but families encouraged to attend.
WALL OF LOVE SERVICE DAY
For Lorain & West Side participants ages 8-18. Program time 10-2pm @ Cascade Park, Elyria. Join us in putting together care packages for people in need and hanging them on a Wall of Love. Round-trip transportation provided.
Friday/Saturday transportation
YELP (Youth Empowerment & Leadership Program)
YELP SOCIAL
For participants ages 16-25. Transportation may be provided on a limited basis.
PEER SUPPORT
For participants ages 16-25. Program time 6-7:30 pm @ via Zoom.
YELP Transportation
TEAM SPORTS
BOCCIA
For participants of all ages who use a wheelchair. Join the boccia team, a precision ball sport played on a gym floor, and have some fun! Wednesday's at YC, program time 5-6:30pm. Must provide own transportation.
WHEELCHAIR BASKETBALL
For participants ages 8-25 with good upper body strength and control. Program time 4-5:30pm @ YC. Transportation provided on a limited basis.
Basketball Transportation