Participant Introduction Form

Thank you for your interest in LWSRA programs! New Participants (and those who last participated prior to 2020) are asked to complete this short introduction form.

Once submitted, you will be taken to our intake meeting form where you may schedule your welcome meeting. This provides an opportunity to gain a better understanding of what services might benefit you. Please plan to have the individual(s) that will be participating in programs attend the in-person meeting! We’ll also give you a tour of the facility, discuss program options and help set-up your CommunityPass account for access to online registration.

If you participated in 2021 or more recently, you should already have a CommunityPass account and do NOT need to complete the form below. Please contact us for help with your log-in information.

Participant First Name

Participant Last Name

Parent/Guardian First Name

Parent/Guardian Last Name

Cell Phone

Opt-in for text message communication (registration alerts/reminders/schedule changes)

I want to receive alerts via text messaging By checking this box, I understand that standard text messaging rates may apply.

Text HELP for help. Text STOP to cancel.

Participant information

(registration participant? Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Participant Age

School Attending (if applicable)

Grade (if applicable)

Participant Date of Birth

Which option best describes the participant?

Physical or visual impairment (all ages)
For individuals whose primary disability is physical or visual, including those interested in wheelchair or adaptive sports.
Young children & youth (ages 2–13)
For children with intellectual, developmental, or other disabilities seeking recreation programs.
Teens & adults (ages 14+)
For teens and adults with intellectual, developmental, or other disabilities seeking recreation programs.
Inclusion services
For individuals seeking support or reasonable modifications to participate in a program offered by one of LWSRA’s member park districts.
I’m not sure which option fits
We’ll help connect you with the right staff member.

Please select the one option that best fits. This helps us connect you with the staff member who can best answer your questions.

Let us know any specific programs you are interested in or any other notes you'd like to share!

How did you hear about LWSRA?

Scheduling your Intake Meeting
Upon submitting this form, you will receive an email with a link to schedule your intake appointment. We look forward to seeing you at LWSRA!