Annual Updates & Consent Forms

AdaptAbilities does not provide transportation to access our centre programs.

Please list 2 contacts other than parents/guardians that can be contacted in the event of an emergency.

AdaptAbilities believes that behavior is a form of communicating one's needs. Behaviors do not occur without a reason. The first step is getting to know the person.

AdaptAbilities focuses on the strengths and interests of our participants. A strength based approach has a simple premise - identify what is going well, do more of it, and build on it. Strengths are positive factors which support healthy development.
Focusing on Creating Success - For Life, AdaptAbilities integrates three components into our day: Essential Life Skills, Expressive Arts, and Recreation and Motor Development

Only complete if you are 18 years or older.
AdaptAbilities focuses on the strengths and interests of our participants. A strength based approach has a simple premise - identify what is going well, do more of it, and build on it. Strengths are positive factors which support healthy development.

Indicate yes/no and provide an explanation as required.

AdaptAbilities recommends all medications to be provided in a pharmacy bubble pack. Medications must be in their original packaging with current label.

Medications brought to programming that do not have proper labelling, or do not match the medication release form will be unable to be administered due to liability purposes. Please update this form when any information changes, this form will expire in August, 2022.

Note: Each medication must be listed in a separate field. Thank you

On behalf of my child, as a parent/guardian, I understand that there are risks/dangers, which are inherent to each specific activity provided by Alberta AdaptAbilities Association. These risks include, but are not limited to, the loss of personal property, the possibility of physical injury to them and other participants, such as muscle strain, broken bone(s), concussion, soft tissue damage, infectious disease, etc. including the possible risk of severe or fatal injury.
Alberta AdaptAbilities Association strives to provide awareness of risks associated with each of the programs/activities it offers. As a parent/guardian, I understand that it is my responsibility to ascertain if there are any health conditions which make it inadvisable for participation in an Alberta AdaptAbilities Association program. I also understand that I am responsible for any medical treatment or costs which may occur because of their participation.

I, the parent/guardian remise, release, and forever discharge Alberta AdaptAbilities Association, its heirs, successors, executives, administrators, directors, officers, employees, insurers, agents, and assigns of and from any and all manner of actions, causes of action, suits, debts, costs, claims, damages, whatsoever arising out of or in consequence of any loss, injury or damage of any kind sustained by child/adult in an Alberta AdaptAbilities Association program. In the event of an accident, I give permission for qualified Alberta AdaptAbilities Association staff to administer first aid and/or CPR, and/or accompany them in ambulance.

I understand that I will be responsible for the cost, in full, of any transportation, to and from the hospital or location of treatment, including but not limited to ambulance transportation.

I understand that I or another emergency contact must be available to pick up the person named above immediately at any time during an AdaptAbilities program due to emergency situations, sickness, or behaviors.

On behalf of my child, as a parent/guardian, I understand that there are times when AdaptAbilities to take archival and/or promotional photos of the participants.
AdaptAbilities continues to be a leader in disability services within the City of Edmonton, and we strive to provide quality service to our families and the people who hire us.

To keep the legacy of our core purpose alive, and to further market our programs, we would like to promote successful experiences to prospective and current participants by displaying our people involved in meaningful days and purposeful support.

Please check the appropriate boxes for photo disclosure of pictures taken for the period of one year. This consent expires August 31, 2023.

On behalf of my child, as a parent/guardian, I understand that there are risks/dangers, when accessing community and participating in field trips.
Alberta AdaptAbilities Association wants to ensure a well-rounded experience for all, and focuses on the development of the whole individual, physically, socially, mentally and emotionally within a safe and caring environment.

To achieve the development of the whole person, Alberta AdaptAbilities Association utilizes as many resources within our community as possible to provide the best experience; thus, programs may include accessing the community and/or taking part in field trips. Transportation may be accessed through the use of the Edmonton Transit System (ETS), a cab company, chartered transportation, and/or the personal vehicle of an AdaptAbilities employee. Walking trips may also occur.

By signing this form, you are stating that you understand and accept the risks as outlined in the Assumption of Risk form previously completed. Alberta AdaptAbilities Association, its programs, and its employees make every effort to ensure everyone’s safety while they attend any program held by Alberta AdaptAbilities Association. Accessing the community provides the opportunity to be a “part of” rather than just “in” community, which reinforces one to be a contributing member of their community.

On behalf of my child, as a parent/guardian, I understand that there are risks/dangers, when accessing community and participating in field trips.

I, the person or parent/guardian remise, release, and forever discharge Alberta AdaptAbilities Association, its heirs, successors, executives, administrators, directors, officers, employees, insurers, agents and assigns of and from any manner of actions, causes of action, suits, debts, costs, claims, damages whatsoever arising out of or in consequence of any loss, injury or damage of any kind sustained by a child/adult due to the application of sunscreen or bug spray by Alberta AdaptAbilities Association or an employee of Alberta AdaptAbilities Association.

On behalf of my child, as a parent/guardian, I understand that there are risks/dangers associated with releasing the participant to the below mentioned person(s) upon pickup.
I, the person or parent/guardian remise, release, and forever discharge Alberta AdaptAbilities Association, its heirs, successors, executives, administrators, directors, officers, employees, insurers, agents and assigns of and from any manner of actions, causes of action, suits, debts, costs, claims, damages whatsoever arising out of or in consequence of any loss, injury or damage of any kind sustained by a child/adult due to a representative of Alberta AdaptAbilities Association releasing the child/adult into the care of the below-mentioned person(s).

Authorization for the Release/Exchange of Confidential Information
On behalf of my child, as a parent/guardian, I hereby authorize the release and exchange of any information including personal information, which would otherwise by law be considered to be privileged and private information to/from/between the following agency(s), individual(s)/professional(s).

Thank you for completing your Annual Update!