Colorado ’27 Ski Camp – Access Adventures

Contact Details

First Name *

Last Name *

Street Address

Street Address Line 2

City

Postal Code

Phone *

Email Address *

Your Information

D.O.B *

Gender ID *

Female

Male

Primary Disability *

Other Disability

Is your disability acquired *

Yes

No

If acquired, what year was your accident/ injury?

If spinal cord injury, is it complete?

Yes

No

If spinal cord injury, what level?

Please provide further info on your disability including how your impairments can affect you *

Mobility *

Manual wheelchair

Powerchair

Walker with aid

Walker

Other

Do you have a PA at home for personal care? *

Yes

No

Do you have a cognitive impairment? *

Yes

No

Please describe any cognitive impairment (this can mean when a person has trouble remembering, learning new things, concentrating, communicating, or making decisions that affect their everyday life).

Weight (the adaptive ski school has a strict weight limit of 91kgs) *

Height *

What method of skiing do you think will suit you best? *

Seated skiing

Stand skiing

Snowboarding

Not sure

Do you have any previous adaptive skiing experience? *

Yes

No

If you have previous ski or snowboard experience, please provide info

Places on this camp are limited - can you tell us how you think you could benefit from this camp? *

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