Volunteer Profile Mt. Brighton Adaptive Sports

*NEW VOLUNTEERS: Please complete the profile form below to create a profile in our database.*

*RETURNING VOLUNTEERS: Please complete this form once a year so that your information stays up to date*

Completing this form helps us maintain the most up to date contact information as well as allow Mt. Brighton Adaptive Sports to make appropriate volunteer assignments for adaptive downhill snow sport events that you register for as a volunteer.

Your Contact Information

First Name *

Last Name *

Email *

Gender

Date of Birth *

Address Line 1 *

Address Line 2

Phone *

City *

State *

State/Province

Zip *

Postal Code

Country / Region

Emergency Contact *

Emergency Contact Phone *

Emergency Contact Email

Your Demographics

What is your preferred name? The maximum length for the field What is your preferred name? is 500 characters.

What are your preferred pronouns?

I identify my race as (select all that apply): * The field I identify my race as (select all that apply): is required.

Are you of Hispanic or Latino Origin? * The field Are you of Hispanic or Latino Origin? is required.

Are you a veteran? * The field Are you a veteran? is required.

(Are you a veteran?) If Y Which branch? The maximum length for the field (Are you a veteran?) If Y Which branch? is 500 characters.

Are you a minor or have a legal guardian? * The field Are you a minor or have a legal guardian? is required.

(Are you a minor?) If Y please provide your parent/legal guardian's name and phone number The maximum length for the field (Are you a minor?) If Y please provide your parent/legal guardian's name and phone number is 500 characters.

Volunteer Interests and Skills

Do you have experience volunteering with people with disabilities? * The field Do you have experience volunteering with people with disabilities? is required.

Do you ski/snowboard/ski bike? * The field Do you ski/snowboard/ski bike? is required.

(Do you ski/snowboard/ski bike?) If Y please select all that apply * The field (Do you ski/snowboard/ski bike?) If Y please select all that apply is required.

Volunteer Skier/Snowboarder Ability * The field Volunteer Skier/Snowboarder Ability is required.

Volunteer Skier/Snowboarder Type * The field Volunteer Skier/Snowboarder Type is required.

Please explain your volunteer experience(s) * The field Please explain your volunteer experience(s) is required.

Please provide information regarding any training and/or Certification (w/expiration date if applicable) The maximum length for the field Please provide information regarding any training and/or Certification (w/expiration date if applicable) is 500 characters.

What are your goals for volunteering with our program? The maximum length for the field What are your goals for volunteering with our program? is 5000 characters.

General Physical Information

Approx height * The field Approx height is required.

Approx weight * The field Approx weight is required.

Shoe Size (if you require ski/snowboard rental) The maximum length for the field Shoe Size (if you require ski/snowboard rental) is 500 characters.

Allergies * The field Allergies is required.

List allergies The maximum length for the field List allergies is 500 characters.

Do you Have an Epi-Pen * The field Do you Have an Epi-Pen is required.

Currently Taking Meds? * The field Currently Taking Meds? is required.

(Currently taking meds?) if Y = list them The maximum length for the field (Currently taking meds?) if Y = list them is 5000 characters.

Do You Have a History Of Seizures? * The field Do You Have a History Of Seizures? is required.

Date of Last Seizure The maximum length for the field Date of Last Seizure is 500 characters.

Disability Information

If you have a disability, please fill out this section. If no disability please select no and continue to the next section

Do you have a disability? * The field Do you have a disability? is required.

(Do you have a disability?) if Y select applicable

Disability - Other Please Explain The maximum length for the field Disability - Other Please Explain is 5000 characters.

List all Medical diagnoses (do not use acronyms) The maximum length for the field List all Medical diagnoses (do not use acronyms) is 5000 characters.

Please select all that apply related to your disability/disabilities

(Please select all that apply related to your disability/disabilities) For any box(es) checked please provide details here: The maximum length for the field (Please select all that apply related to your disability/disabilities) For any box(es) checked please provide details here: is 5000 characters.

Do you use any assistive devices?

(Do you use any assistive devices?) If Y select all that apply

Assistive Devices Used - Other (please explain) The maximum length for the field Assistive Devices Used - Other (please explain) is 5000 characters.

Can You Walk?

(Can you walk?) if Y how far? The maximum length for the field (Can you walk?) if Y how far? is 500 characters.

If wheelchair, independent transfers?