Adapted Hockey Try-It Day
Join us to learn more about the different hockey opportunities in Edmonton for individuals with disabilities! You'll have the opportunity to try out 2 of them, Powerhockey and Volt hockey!
Sign in to Google to save your progress. Learn more
Email *
Important things to know:
Powerhockey will be available to try out from 1-4pm. Come at any time that works for you!
Powerhockey is open to all ages with any range of disabilities, whether you can hold a stick or not.
Participants are encouraged to bring their own power wheelchair in order to participate. ACPSA only has one wheelchair available!

Volt hockey is open to all ages and any range of disabilities as well, but the specialized Volt chairs will be provided by Variety Alberta.
Different time slots will be available for different age groups. 12:45-1:45pm, 2-3pm, 3:15-4:15pm.
We will forward your information to Variety Alberta so they can confirm chair availability and time with you!

There are other ways to get involved in hockey in Edmonton and you can learn more about them if you attend. We will give you the right people to contact!

All equipment (except for powerchairs for powerhockey) will be provided by us!

If you have any questions, please contact:
edmonton@acpsa.ca for Powerhockey inquiries
J.Ramsankar@varietyalberta.ca for Volt hockey inquiries
First and Last Name of Participant *
Age *
If participant has a disability, what is important for us to know? *
Which sport would you like to try out? *
You can choose both!
Required
(18+) Liability Waiver: By accepting below, you acknowledge the contagious nature of COVID-19 and that province of Alberta still recommends practicing social distancing. You further acknowledge that Alberta Cerebral Palsy Sports Association (ACPSA) has put in place preventative measures to reduce the spread of COVID-19,but cannot guarantee that you will not become infected. You understand the risk of becoming exposed and/or infected with COVID-19, and hereby release ACPSA from any liability or claim that you may have against ACPSA with respect to any bodily injury, illness, death, medical treatment or property damage that may arise from, or in connection, to any services received from ACPSA.
Clear selection
(Minors) Assumption of Risk: By accepting below, you  acknowledge the contagious nature of COVID-19 and that province of Alberta still recommends practicing social distancing. You further acknowledge that Alberta Cerebral Palsy Sports Association (ACPSA) has put in place preventative measures to reduce the spread of COVID-19, but cannot guarantee that participant will not become infected. You understand the risk of becoming exposed and/or infected with COVID-19, and hereby voluntarily accept and assume all risk of any bodily injury, illness, death, medical treatment or property damage that may arise from, or in connection, to any services received from ACPSA.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of ACPSA. Report Abuse