Clone of 2025 No Barriers Youth with Disabilities Program Application

2026 No Barriers Youth with Disabilities and Family Program Application

To be considered for a 2026 program, please complete this application in its entirety. You will receive an email confirmation once your completed application is submitted. Please keep in mind, No Barriers serves people with disabilities with visible or invisible injuries. We have the capacity to serve a limited number of individuals, and do our absolute best to impact those with the most need. We appreciate your understanding if you are not selected, and encourage you to stay connected to No Barriers for future opportunities. If you have questions about the application process or need assistance filling out an application, please contact us: Email: info@nobarriersusa.org Phone: 970-484-3633 ext. 201
- Please read through the 2026 Youth with Disabilities Essential Eligibility Criteria document to ensure you are able to met the minimum requirements for participating in a No Barriers program
- Do you have any concerns regarding the Essential Eligibility Criteria listed above?*
  
  NoYesOther
- Name of parent or guardian completing this form*
  
  First NameLast Name
- Name of Youth Participant
  
  First NameLast Name
- Birth Date of Youth Participant*
  
  MonthDayYear
- Parent or Guardian's Mobile Number*
  
  Area CodePhone Number
- E-mail*
- Current Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Which of the following best describes the community in which you currently live?*
- How did you hear about No Barriers USA?*
- What access does your family have to a technology device for participation in the interactive, online phases of this program? (this includes an online course and virtual meetings with the expedition or basecamp team)*
  
  We have regular access to a computerWe have regular access to a tablet or smartphoneWe do not have regular or consistent access to a computer or other deviceOther
- How comfortable are you using technology to participate in an online course and for virtual meetings?*
  
  Very Comfortable, I can usually figure it outComfortable, I may need some guidanceUncomfortable, I need supportVery uncomfortable, I need a lot of support
- Please briefly describe your child's disability.*
- Why are you interested in participating in a No Barriers program?*
  
  0/250
- What do you hope to gain from this experience?*
  
  0/100
- Please list the family members and their ages who would be interested in attending this program.*
  
  0/140
- Do you have any concerns about attending a No Barriers program?*
  
  0/140
- Are there any physical or medical accommodations your family would require to participate in this trip?*
- Are you comfortable engaging in fundraising activities to help cover some of the costs of your trip? You will be provided resources and tools to support your success in this process.*
- Would you like to be considered for scholarship opportunities?*
  
  I would like to only be considered for scholarship opportunitiesYes, I would like to be considered for scholarship opportunities but am willing to pursue fundraisingNo, I am comfortable with the fundraising guidelines you've outlinedOther
- You are applying for a Youth with Disabilities program with dates listed below. If not selected for these trips, we may be able to roll your application over to a future program. Please select "roll my application over" if you would like us to do so.*
  
  7/16/26 through 7/19/26 with Phase 1 Meetings beginning on 6/18/26Please roll my application over if I'm not selected
- Phase 1 & Phase 3 virtual meetings 5pm Mountain Time beginning on the dates listed above. Please acknowledge that you will be available to attend these biweekly prior to the in person opportunity and following the in person opportunity.*
- Is there anything else you'd like us to know when considering you for selection?
- Thank you for your application. We will review the information you have provided and follow up with you regarding our 2026 programs. Please enter your first and last name to recognize your understanding. Once you click the button below, you will receive an email confirmation letting you know that your application was successful. We will review applications on a rolling basis and begin the screening process as appropriate. Please don't hesitate to contact us at info@nobarriersusa.org or 970-484-3633 ex. 201 if you have any additional questions.*
  First and Last Name
- Today's Date
  
  MonthDayYear
  Date
- Should be Empty:

2026 No Barriers Youth with Disabilities and Family Program Application