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Recreation - Accessible Pursuits Services Request
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This form has been modified since it was saved. Please review all fields before submitting.
Welcome to Accessible Pursuits
This program is Adaptive Recreation Services avenue for customizing recreation services specific to groups with disabilities/medical conditions needs. We hope to support your group's recreation needs! To start, please take a few moments to complete this form.
Contact Name
*
Organization
*
Email
*
Phone #
Date(s) requesting
Group size
Ages of participants
Youth
Adults
Program needs (equipment, facility, etc.)
Equipment - bikes, sport wheelchairs, game supplies, etc.
Programming - facilitator, trip, event, weekly class, etc.
Transportation with lift
Facility use
Other
What other program needs do you have?
Program Description
*
Please provide a brief description of your program interest and your groups demographics.
An Adaptive Recreation specialist will contact you within three business days to discuss determine next steps. For more information call Hilyard Community Center 541-682-5311. Thank you!
Note: The City of Eugene uses this contact form to protect your privacy and to help prevent spam
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