Organizations Networking for Everyone with Special Needs
O.N.E. Coalition
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One Coalition Swim Party registration is limited to individuals with
disabilities and their immediate family (siblings and parents) only.
Parents must stay at the event with their children. Children will not be permitted to enter without a parent present.
.Please complete the following fields to register for the Sensory Friendly Swim Party on August 11th from 8:30 to 10:00 pm..
Waiver
I hereby request that you accept this application to attend the Swim Party Outreach Event to be held at Star City Shores on August 10. 2019.
In consideration of your acceptance of the application, I hereby release Star City Shores from all claims on account of any injuries which may be sustained while attending the Sensory Friendly Swim Party Outreach Event; and I agree to indemnify Star City Shores, the O.N.E. Coalition groups and all their employees for any claim which may hereafter be presented by me as a result of any such injuries.
I also grant permission for the O.N.E. Coalition to use photos and videos taken at the Sensory Friendly Swim Part Outreach Event for publicity, advertising or other purposes.
O.N.E Coalition admits all applicants without regard to gender, disability, race, color, religion, national or ethnic origin, or sexual orientation.
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Indicates required field
Name of the Individual with special needs, the total number of immediate family member guests (siblings and parents only) who will accompany the individual with special needs, and any special accommodation you might need. (Example Jane Doe, 3, none)
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Phone Number
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Email
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My Family is Connected to the following support group(s) or would like to be connected. (Check all that apply)
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ARC of Lincoln
Autism Family Network
Autism Center of Nebraska/ACN Connections
Down Syndrome Advocates in Action
Down Syndrome Association for Families
Dreams Unlimited
ESU #6
Horses for Healing
Nebraska Spina Bifida
United Cerebral Palsy NE
Windsong Equitherapy
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