Extremity Games

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Athletes with Disabilities Network
2845 Crooks Road.
Rochester Hills, MI 48309
Phone: 248.829.8353

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Skateboarding
Skaters will throw down their most technical tricks while representing originality and style on our street course!

Rock Climbing
Grab a 'hold', get your foot on a crack and show us your best and fastest top rope skills.

Kayaking
Snag a personal flotation device and stroke it on our out and back paddling course.

Wakeboarding
Make a splash standing up or sitting down. Whatever you do, rock the wake and hit big air!

Mountain Biking
Slip on your brain bucket and clip in for one heck of a cross country race.

Moto-X
Riders will be challenged by a gnarly outdoor course on 80 acres of natural rolling terrain!

Powerlifting Novice Competition and Mixed Martial Arts Demo

Extremity Games is organized by Athletes with Disabilities Network (ADN), whose mission is to promote a better quality of life by creating opportunities for athletes with physical disabilities.

ADN organizes Extremity Games, as well as Athletes with Disabilities Hall of Fame, which recognizes and honors men and women who have overcome physical challenges to become elite athletes and superior role models.

Extremity Games 8 Registration Form

I hereby confirm that I am considered an amateur in the sport(s) that I will be competing in during Extremity Games. I, or my guardians, also agree to sign a waiver of liability and review all rules and regulations prior to competing in the event or attending an instructional clinic. I also hereby acknowledge that by submitting this registration form that I, or my guardians, are authorizing Athletes with Disabilities Network (ADN) to publish and use my information and photos to promote ADN and/or Extremity Games.
Contact Information (*Mandatory)
First Name*:		Last Name*:
Address 1*:		Address 2:
City*:		State*:
Country:		Zip*:
Phone*:		Email*:
Gender*: Male Female
Age (at time of competition)*:
Limb loss or limb difference (Check all that apply)*:
Lower Extremity Amputation/Limb Loss Upper Extremity Amputation/Limb Loss Lower and Upper Extremity Amputation/Limb Loss Amputation/Limb Loss - Other Spinal Cord Injury - paraplegic Spinal Cord Injury - quadriplegic Spinal Cord Injury - Other Limb Loss/Limb Difference - Other Other... Please fill in:
Have you competed in the Extremity Games before?*
Yes No
Indicate your t-shirt size*:
Small Medium Large X-Large 2XL


COMPETITIONS Check the following Competitions you are registering to participate in, if any:
May 25, 2013 – Extremity Games Motocross
		AMP	PARA

June 15, 2013 – Extremity Games Main Event Competitions
	Skateboarding	Elite	Novice
	Wakeboarding	Elite	Novice
	Kayaking	Elite	Novice
	Speed Rock Climbing		Novice
	Cross Country Mountain Biking	Elite	Novice
	Powerlifting		Heavy Weight Non-Heavy Weight One Armed Dumbbell Press
	Sit-boarding	Elite	Novice
CLINICS Check the following Instructional Clinics you are registering to participate in, if any:
June 14, 2013 – Extremity Games Main Event Clinics (Free Events)
Skateboarding
Wakeboarding
Kayaking - Flat Water at TSR
Kayaking - White Water at Rio Vista
Speed Rock Climbing
Cross Country Mountain Biking
Mixed Martial Arts
Powerlifting
To be officially registered for competition, you must complete the second page of the registration, which includes payment of the registration fee.