Planning for access during the event started even before the park was made accessible.

Participation in the clinic was available on a first-come first-served basis. Pre-registration was required and was completed on-site at the clinic registration booth.

Using a modified assessment tool designed for adapted skiing, staff and volunteers, including professionals representing Therapeutic Recreation and Physical Therapy, assessed attendees on site. The assessment data was then used to determine the type of modification needed, what type of vessel was most appropriate, the level of assistance, and to plan and mitigate potential risks involved with participation in the event.

Several groups of volunteers were used to ensure quality and safety. Volunteers were assigned to each participant in a "buddy system" to ensure individual modifications and safety considerations were met. The festival provided professional kayakers to serve as safety/sweep boats in the event a participant ended up in the water. Swiftwater rescue crews were also on site at the take-out location.

Additionally, the Reno River Festival increased its accessible parking to the event, accessible restrooms and improved path of travel in and around the spectator areas. All City of Reno special event permits require an ADA plan to account for ADA compliance.