Colorado ski camp application

Colorado ski camp application
Date: 3 - 13 Feb 2025

Location: Steamboat, Colorado (USA)

Accom: Shared rooms (2 per room) in an accessible ranch, private bathrooms for each room.

Details: Suitable for beginners, includes full lessons & adaptive equipment hire. Must be over 18 and have a physical disability.

This camp is always oversubscribed! Please complete this form to be considered for a place.
Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Phone number*
Email*
D.O.B*

DayMonthYear
Gender*

MaleFemale
What is your primary disability?*
Is your disability acquired or congenital?*

AcquiredCongenital
If acquired, how many years is it since your accident/ injury?
If spinal injury, please provide level & whether complete or incomplete
If other disability, please provide further info on how your impairments can affect you
Mobility:*

No mobility aidWalker with aidManual wheelchair userPowerchair user
Do you have a PA at home for personal care?*

YesNo
Do you have a cognitive impairment?*

YesNo
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).
Have you ever had a seizure?*

YesNo
If yes, please give the date of your last seizure
Do you have any shunts?*

YesNo
If yes, please give details
Weight (the adaptive ski school has a strict weight limit of 91kgs)*
Height*
Level of fitness*

1

2

3

4

5

1 is Worst, 5 is Best
Balance*

1

2

3

4

5

1 is Worst, 5 is Best
Upper body strength*

1

2

3

4

5

1 is Worst, 5 is Best
Grip*

1

2

3

4

5

1 is Worst, 5 is Best
What method of skiing do you think will suit you best?*

SeatedStandingNot sure
Do you have any previous adaptive skiing experience?*

YesNo
If yes, please provide info
Can you tell us how you think you could benefit from this camp?*
Is there anything else about you or your disability that would be useful for us to know?
We ask for a donation towards the cost of this camp: minimum £2800 - maximum £3800.

The minimum cost is subsidised for those in financial need. Please donate what you can afford within the above price range. Contact us with any concerns.

The donation covers:
- Direct return flights London Heathrow - Denver (economy)
- Transport
- 9 nights half-board accommodation
- Lift pass, lessons & equipment rental for 6 days
We would like to contact you with information about our services. This may include details on activities, volunteer opportunities, how you can donate, fundraising events. We won't share your information with others without your permission, except in an emergency. Your data will be used and stored in accordance with the 'General Data Protection Regulation 2018'. Please refer to our full privacy policy
Please DO contact me by (mark ALL methods you would be happy with)*

EmailPhonePost
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