Student Name(Required) First Last Instructor(s)(Required)Lesson Date(Required) MM slash DD slash YYYY Diagnosis/Condition(Required)Acquired Brian Injury (ABI)Alzheimer's DiseaseAmputationAmyotrophic Lateral Sclerosis (ALS, Lou Gehrig's Disease)AphasiaApraxiaArthritisArthrogryposis Multiplex Congenital (AMC)AsthmaAttention Deficit/Hyperactivity Disorder (ADD/ADHD)Autism Spectrum Disorder (ASD)BurnsCancerCerebral Palsy (CP)Cerebrovascular Accident (CVA or Stroke)Charcot-Marie-Tooth Disease (CMT)Chronic Traumatic Ecephalopathy (CTE)Congenital Anomalies of the Hip, Leg, or FootCystic FibrosisDiabetesDown SyndromeDwarfismDysarthriaEmotional Behavior DisorderEpilepsy/Seizure DisorderFetal Alcohol Syndrome Disorder (FASD)Fragile X Syndrome (Martin-Bell Syndrome)Friedreich's AtaxiaGuillain-Barre SyndromeHearing-Related DiagnosisHuntingtons DiseaseIntellectual DisabilitiesLupusMultiple Sclerosis (MS)Muscular DystrophyMyastehnia GravisNon-Verbal Learning DisabilityParkinson's DiseasePoliomyelitisPost-Polio SyndromePost-Traumatic Stress Disorder (PTSD)Rett SyndromeSensory Processing DisorderSpina BifidaSpinal Cord Injury (SCI)Spinal Curvature DisordersSpinal Muscular AtrophyTraumatic Brain Inquiry (TBI)Trisomy 18 (Edwards Syndrome)TumorVascular DiseaseVision-Related Diagnosis (VI)OtherAdditional Diagnosis/ConditionAcquired Brian Injury (ABI)Alzheimer's DiseaseAmputationAmyotrophic Lateral Sclerosis (ALS, Lou Gehrig's Disease)AphasiaApraxiaArthritisArthrogryposis Multiplex Congenital (AMC)AsthmaAttention Deficit/Hyperactivity Disorder (ADD/ADHD)Autism Spectrum Disorder (ASD)BurnsCancerCerebral Palsy (CP)Cerebrovascular Accident (CVA or Stroke)Charcot-Marie-Tooth Disease (CMT)Chronic Traumatic Ecephalopathy (CTE)Congenital Anomalies of the Hip, Leg, or FootCystic FibrosisDiabetesDown SyndromeDwarfismDysarthriaEmotional Behavior DisorderEpilepsy/Seizure DisorderFetal Alcohol Syndrome Disorder (FASD)Fragile X Syndrome (Martin-Bell Syndrome)Friedreich's AtaxiaGuillain-Barre SyndromeHearing-Related DiagnosisHuntingtons DiseaseIntellectual DisabilitiesLupusMultiple Sclerosis (MS)Muscular DystrophyMyastehnia GravisNon-Verbal Learning DisabilityParkinson's DiseasePoliomyelitisPost-Polio SyndromePost-Traumatic Stress Disorder (PTSD)Rett SyndromeSensory Processing DisorderSpina BifidaSpinal Cord Injury (SCI)Spinal Curvature DisordersSpinal Muscular AtrophyTraumatic Brain Inquiry (TBI)Trisomy 18 (Edwards Syndrome)TumorVascular DiseaseVision-Related Diagnosis (VI)OtherEquipment Used(Required)What skills were worked on during this lesson?(Required)What terrain did you and the student ski/ride?(Required)Please list any successes and/or challenges from the lesson:(Required)How did you as the instructor manage any challenges?(Required)Plan For Next LessonSkills:Terrain:Goals: