Wheelchair Sports, Inc.
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Wheelchair Sports, Inc.
3033 W 2nd ST. North. Wichita, KS. 67203

 

Welcome to Wheelchair Sports, Inc. on line sign up, please fill out the form if you are interested in joining. We are currently seeking disabled and able-bodied persons for participation in our organization.

Please provide the following contact information:

First Name
Last Name
Age
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Home Phone
E-mail
Personal URL

Select any of the following options that apply:

Basketball    Bowling       Handcycling  Hockey      
Snow Skiing   Tennis        Water Skiing  Other

Type of Disability:


Comments:



Last Updated: April 16, 2007
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