2027 CAF NorCal Adaptive Swim Clinic

2027 CAF NorCal Adaptive Swim Clinic

NAME: CAF NorCal Adaptive Swim Registration - Participant

LOCATION: The Olympic Club (524 Post St, San Francisco, CA 94102)

DATE: Saturday, January 9th, 2027

TIME: TBD (sessions available below)

Join CAF and The Olympic Club for an adaptive swim clinic for swimmers of all abilities ages 5 and

up!

Clinic Time Details:

Session One: 1 PM – 2 PM

Session Two: 2:15 PM – 3:15 PM

Session Three: 3:30 PM – 4:30 PM

Participants will select their preferred session time through the registration form. We will do our

best to accommodate your preferences. If you're available at multiple session times, please

indicate that when registering.

Each participant will be paired with a volunteer, and lifeguards will be present for each session.

Please bring a bathing suit, towel, and any adaptive swim equipment (if applicable). We will be

providing snacks, water, swim caps, and goggles.

For questions, please reach out to Patrick at patrick@challengedathletes.org.

Athlete Information

First Name

Last Name

Email

Date of Birth

Gender

Ethnicity

Address

City

Country

State/Province

ZIP/Postal Code

Mobile Phone

Emergency Contact

Emergency Contact Phone

Emergency Contact Relationship to Participant

Are you an individual with a permanent physical disability?

YesNo

Choose disability category

Choose primary diagnosis

Please list diagnosis

Please select level

How did you acquire your disability?

What is the date of disability?

Please list any secondary physical issues/limitations

Have you ever received a grant from CAF?

YesNo

Please provide a short bio

T-Shirt Size

Please list all allergies (food, surfaces) or any medical conditions we need to be aware of for this event (if none type none)

How many CAF events have you attended before?

How did you learn about this event? Please choose the best option

Please explain

Field Is RequiredField Is RequiredI hereby certify that I am eighteen (18) years or older, or the parent/legal guardian of participant, and that I have read this waiver and release and I hereby do consent to the terms and conditions of the CAF Release of Liability and the CAF Participant Code of Conduct
(Type full name to electronically agree)

Parent Name (if participant is under 18)

Contact Information