Summer 2026 ACCESS Fit Registration (Community)

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YOU MUST FILL OUT THIS FORM, IF YOU HAVE NOT ALREADY, IN ORDER TO PARTICIPATE IN ACCESS FIT

Liability Waiver

Copy and paste the link below into a NEW WINDOW to complete the liability and media release then COME BACK to this page to click submit. A participant cannot attend without the liability waiver signed. We only need ONE waiver signed per participant. If a participant is involved in Miracle League and ACCESS Fit, this only needs to be completed once for the year.

https://www.waiverfile.com/b/ACCESSofWilmington1

*If you have already signed a waiver in 2026 you can skip this step and hit submit*

Amount:

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Participant Information

First Name *

Last Name *

Birth Date *

Primary Diagnosis *

Secondary Diagnosis

Parent / Guardian Name(s) *

Email *

Phone (to receive update texts about cancelation) *

County *

Please share any mobility impairments or if the participant uses any mobility aids: *

How does the participant communicate? *

Verbal Clearly Understood

Verbal Not Clearly Understood

Nonverbal

Uses Signs/Gestures

Uses Communication Device

Other

Other:

Are there any sensory needs that we need to be aware of?

Are there any unsafe behaviors that may be exhibited? *

Are there any triggers, warning signs, or behavior support strategies for these behaviors?

Are there any adaptations we can make to ensure your success in the program?

What are your goals for the program?

Please list any sports, fitness activity or games you enjoy *

Amount:

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Please select your ACCESS Fit membership pricing level:

*If Insurance covers membership fee please select the ACCESS Fit- Apply For Scholarship option for the question above*

My insurance (Trillium) pays for my membership *

Amount:

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$ Add on Membership Levels

Miracle League - $40 Season Registration Fee

Miracle League - Apply for Scholarship

ACCESS Fit- $50 Season Registration Fee

ACCESS Fit - Apply For Scholarship

Pay It Forward! Register & Sponsor Additional Athlete

Sponsor Another All Star

I would like to automatically renew my membership

Amount:

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Discount Code

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Amount:

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Card

Pay Later

or enter your card details below

Cardholder First Name *

Cardholder Last Name *

Cardholder Email

Card *

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Billing address is the same as mailing address

Address Line 1

Address Line 2

City

State/Province

Zip *

Country

I will mail in a check or money order

Please mail your payment to:

2021 Corporate Drive

Suite B

Wilmington , NC 28405

Amount:

{{formatAmount(totalAmount)}} USD

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