Get Or Portland Parks & Recreation Inclusion Intake Form 2016-2025

The OR Portland Parks & Recreation Inclusion Intake Form is essential for individuals requesting inclusion services. This guide provides clear, step-by-step instructions on how to effectively fill out the form online to ensure a seamless experience.

Follow the steps to complete the Inclusion Intake Form online

1. Press the ‘Get Form’ button to access the Inclusion Intake Form and open it for editing.
2. Begin with Section One: Participant Information. Fill in the participant's name, address, phone number, gender, age, and date of birth. If the participant is still in school, include their school name and district.
3. Proceed to Section Two: Parent/Guardian Information. Provide details for up to two parents or guardians, including their names, addresses, phone numbers, and email addresses.
4. In Section Three: Alternate Emergency Contact Information, enter the names and phone numbers of two alternate emergency contacts along with their relationship to the participant.
5. Move to Section Four: Accommodation Request / Participant History. Describe the participant’s primary needs for inclusion and provide the name and address of their regular medical care provider, along with their phone number.
6. List any current medications the participant is taking, including the dosage, purpose, and potential side effects. Additionally, check any relevant medical history boxes and provide explanations where necessary.
7. Describe transportation arrangements for the participant and detail their recreational goals, strengths, likes, and any unusual fears or concerns.
8. Indicate the level of supervision the participant requires, and disclose any aggression they may express. Provide strategies for calming them during distress and note if they have a Behavior Management Plan.
9. Complete any applicable statements regarding assistance needs and any limitations to recreational activities. Also, specify if the participant needs a life jacket while swimming.
10. In Section Five: Acknowledgements, Agreements & Release, read and understand the acknowledgements. Provide your signature, printed name, and the date to confirm your agreement to the terms provided.
11. Review all entered information for accuracy. Once completed, you can save your changes, download a copy, or print the finished form for submission.

Complete the OR Portland Parks & Recreation Inclusion Intake Form online today to ensure your needs are met!