Hanger Clinic Field Day

Dick's Sporting Goods and Hanger Clinic are partnering to invite people with limb loss, orthotic bracing needs, or anyone differently abled to join us for an adaptive field day. Please join us for a day of peer support and activities, including soccer, golf, rock climbing, pickleball, and other activities to have fun/stay active. Guest speakers from the USA Amputee Soccer team and a professional Pickleball instructor will discuss their journey with adaptive sports. Supportive family and friends are welcome.

Date/Time: Saturday, July 27, 2024, 9:00 a.m. to 3:00 p.m.

Lunch will be provided.

Location: Dick’s House of Sport

629 Harry L Drive, Johnson City, NY 13790

(Rain or shine – activities both indoors and outdoors)

Questions? Please email Robyn Callaway at rcallaway@hanger.com

Registration Type *

Adaptive Athlete Attendee

Event Volunteer

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Age Group *

Unisex T-Shirt Size *

How did you hear about the Adaptive Sports Day? *

Are you a person with an orthotic device? *

Yes

No

What orthotic device(s) do you use? *

Are you a person with lower limb loss? *

Yes

No

Are you a person with upper limb loss? *

Yes

No

Please rate your mobility level from 1 to 5 stars: *

1-star: Limited mobility; 5-star: Extremely active

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Are you a Hanger Clinic patient? * 🛈

Yes

No

What adaptive sports have you played previously? *

Are you bringing a guest? *

Yes

No

Guest Information:

	First Name	Last Name	City, State	Email	Relationship to attendee
Guest #1	First Name	Last Name	City, State	Email	Relationship to attendee
Guest #2	First Name	Last Name	City, State	Email	Relationship to attendee
Guest #3	First Name	Last Name	City, State	Email	Relationship to attendee
Guest #4	First Name	Last Name	City, State	Email	Relationship to attendee

(Optional) Please share any information about your mobility/activity/personal goals that you have for this event.

Additional Requests, Dietary Needs, Comments, or Questions: