Boccia Ball Winter Program Registration

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Thank you for your interest in MedStar NRH's Boccia Ball Program! Our program is open to anyone with a physical disability at no cost!

We are so excited to be getting back in action!

The winter program dates are:

Thursday, February 3rd
Thursday, February 17th
Thursday, March 10th
Thursday, March 31st

Location: MedStar National Rehabilitation Hospital (102 Irving Street NW Washington, D.C. 20010)

Time: 6:00-7:30pm

Please complete the following registration form. You will be asked to select which dates you plan on attending. If you register for a program date and are unable to attend, please let Lizzy Parker know.

We are looking forward to having you come out!

For any questions or concerns please contact our Community Recreation Therapist, Lizzy Parker at Elizabeth.V.Parker@medstar.net

First Name *

Last Name *

Date of Birth

YYYY

E-Mail *

Have you previously participated in our Boccia Ball Program?

Yes

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Please select the program dates you plan on attending:

Thursday, February 3rd

Thursday, February 17th

Thursday, March 10th

Thursday, March 31st

Please provide any information you feel would be important for our staff to know:

Please read and complete the MedStar NRH sports waiver by clicking the link: https://editor.smartwaiver.com/w/56dda1b4a94e1/web/ *

I have read and signed the waiver.

Please click here if you have previously completed the MedStar NRH sports waiver for another program.

Required

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