• Advanced Recreation Therapy Registration Form

  • Please select with event/date you are registering for:*

  • Participant Information:

  • DOB*
     - -
  • What gender do you identify as?(Collected for grant purposes only)*
  • Format: (000) 000-0000.

  • Emergency Contact Information

    In case of emergency, who should we contact?
  • Format: (000) 000-0000.
  • Due to limited availability for the Impossible Dream Sail, we hope to provide as many individuals with SCI the opportunity to participate as possible. Out of respect for fellow participants, we ask that companions attend only if needed for support or assistance. Will you require a companion spot for this experience?*

  • Please complete this waiver for Impossible Dream IN ADDITION to JTF registration. Thank you! https://waiver.smartwaiver.com/e/JpK3DbfLk2NiA6rHfVT7hR/

  • For Performance Driving, I plan to be a ...*
  • If you are planning on driving, please confirm the following:

  • Registration Fee

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    Registration Product Image
    Registration
    $25.00$25.00
      
    Total
    $0.00$0.00
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    The payment is ready! It will be completed once you submit the form.

  • Please be aware that registration fees are nonrefundable.

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