collaborative program of NEDSRA and WDSRA

Experience life to its fullest! Synergy offers a wide variety of year-round, specially designed, athletic programs for people with a physical disability.

Copyright 2013. Synergy Adaptive Athletics. All Rights Reserved.

This form is for individuals requesting financial assistance for Synergy programs.

All individuals are required to fill out an annual form each calendar year.

This form is used to register for Synergy Adaptive Athletics programs via regular mail or via e-mail. This form is good for one calendar year.

116 N Schmale Rd, Carol Stream, Il 60188

(p) 630.384.8542  (f) 630.681.1262


A collaborative program of NEDSRA and WDSRA


Synergy Forms



The following forms can be downloaded by clicking on the links below. The forms are in PDF format. Please call 630.384.8542 or e-mail if you have any questions.  

Forms can be returned hard copy to:


Attn: Synergy Adaptive Athletics

116 N. Schmale Road
Carol Stream, IL 60188