Shared Adventures--Day On The Beach Registration Information

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Pre-Register to
PARTICIPATE IN THE PARTY FESTIVAL
19th Annual Day On The Beach
Note: This is only to register for the BEACH PARTY ONLY.
Click to Register for Activities

All Persons with Disabilities welcomed to participate
EVERYBODY welcomed to volunteer!

Saturday July 16, 2011 at Cowell’s Beach
Santa Cruz, California
11am – 5pm

Note: Please sign up online (below) so we can get a good count of who's coming and how many people to expect. You will still have to sign a waiver and get a wristband at the beach to attend the party and eat. So sign up below and we'll have waivers and everything ready for your arrival.

Welcome to Shared Adventures' 19th Annual Day On The Beach!

Day On The Beach Weekend. Saturday July 16th 2011, will be our traditional Day On The Beach, complete with kayaking, outrigger canoeing, floatation, beach wheelchair racing, live bands, pile of free food, and all of the stuff that has made Day On The Beach a 19th consecutive annual Santa Cruz tradition.

All event participants MUST pre-register online to minimize paperwork to be filled out at the beach. If you do not pre-register online, we expect to fill up very quickly this year and you will probably not be able to participate. If you pre-register, you will be able to begin activities as soon as a time spot becomes available. Due to the high number of participants last year a time slot will not be given but activities will be running continuous from 11am-5pm.

WARNING: Events are available on a first come, first-served basis based on the order in which participants sign up. Please complete the online registration form immediately.

BEACH PARTY REGISTRATION

Note: Festival Admission, Parking, all activities are FREE
Free food too!
Spread the word! The more the merrier!

All fields must be entered:

Primary Guest

* First Name	* Last Name

Primary participant age:

years. Can be any age 0-whatever.
Note: ALL Ages are welcomed, 0 to 100+

Phone:

Daytime:* Evening:*
You must enter at least 1 telephone number. Don't forget your area code.

Email:

*
Required in case we have to get hold of you with last minute changes.

Street Addr:

City:

State:

* Zip: *

Briefly describe any disabilities, if any.

Note: Disabilities are not required, everybody is welcomed! We just need this info to make sure we can accommodate all attendees.
*
If multiple disabilities, select the most ambulatory-limiting, then describe additional disabilities under "other":
Other / additional disability:

Do any of the attendees require assistive devices like wheelchairs, canes, walkers, etc?

No assistive device required.
Yes, requires assistive device like wheelchair, cane, walker, etc.

If applicable, please briefly describe the type of assistive device required.

Example: wheelchair, cane, walker, etc. This information is totally confidential, and will only be used by the Day on the Beach team to prepare proper accommodations at the festival (wheelchair ramps, etc.)

Have you participated or volunteered in Day on the Beach before? Yes: No:

How did you hear about Day on the Beach?
Other:

Unlimited GUESTS may accompany you to the Day on the Beach Festival for FREE

Bring friends, relatives, neighbors, teachers, doctors, nurses, you name it. The more, the merrier!

How many guests/caregivers/family/friends will you be bringing to the festival: Including the festival participant named above

Guest 1's Name: Age: Uses wheelchair or other mobility assistance device?	Guest 2's Name: Age: Uses wheelchair or other mobility assistance device?
Guest 3's Name: Age: Uses wheelchair or other mobility assistance device?	Guest 4's Name: Age: Uses wheelchair or other mobility assistance device?
Guest 5's Name: Age: Uses wheelchair or other mobility assistance device?	Guest 6's Name: Age: Uses wheelchair or other mobility assistance device?
Guest 7's Name: Age: Uses wheelchair or other mobility assistance device?	Guest 8's Name: Age: Uses wheelchair or other mobility assistance device?
Guest 9's Name: Age: Uses wheelchair or other mobility assistance device?
Additional guests and ages and mobility needs, or comments about special needs of your guests:

Any comments? Anything else we need to know?
Any cool stories to share from previous year's events?

We'll see you Saturday July 16, 2011
Festival gates open 11am-5pm.
No charge to attend the party. Free food, free bands, tons of fun, you name it.

Please click only once and wait up to 45 seconds. It can be slow.

Questions? 831-459-7210 staff@sharedadventures.com

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