Forms

Thank you for your interest in our program. Here, you'll find the registration forms you'll need to sign up, as well as other important information.

2018 Rider Schedule
Seizure Disorder Form
Generic Rider Release Form 
Generic Rider Registration Form
Generic Physical Therapy Form
Generic Medical History Form

Please Note: Session payments MUST be mailed to Cornell Cooperative Extension of Niagara County (2) weeks prior to the start of classes. Mail check or money order to:

Cornell Cooperative Extension of Niagara County
4487 Lake Avenue
Lockport, NY 14094

Payments can also be made via our PayPal account.

Information for Parents/Caregivers:

If you would be interested in participating in a class with your rider, please notify Chris Wright at433-8839 ext.232 or by emailing her at ckw32@cornell.edu. You can be trained quickly as a side walker. Your participation allows us to fill the volunteer slots necessary to hold classes. Without that support, we would have to cancel classes. Working as a side walker is a great way to see your rider excel in areas you may not see anywhere else — and our parents and caregivers often get as much out of the experience as our riders. Amazing moments happen here every day. If you like, you can feel free to sit in our viewing room and watch classes.

Contact

Christina Wright
Afterschool Youth Development Educator
ckw38@cornell.edu
716-433-8839 Ext. 232

Last updated November 29, 2018