Request edit access
PATH Outdoor Adventure Application
In order to be considered for an Outdoor Adventure with The PATH Foundation, please complete the required information below. After completing this form, follow the directions at the bottom to email or mail the medical documentation to complete this application process.
Applicant Name *
Your answer
Street Address *
Your answer
City, State, Zip *
Your answer
Email Address *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Applicant Date of Birth *
Your answer
Applicant Age *
Your answer
Applicant Weight *
Your answer
Applicant Height *
Your answer
Clothing Information *
Shirt Size *
Coat Size
Your answer
Applicant will be accompanied by 1 person: I will be bringing the following person: *
Your answer
Relationship of this person to applicant *
Your answer
Please Check all of the below that apply to you
Are you a military veteran? If so, what branch?
Have you previously participated in any other outdoor fishing or hunting experience with PATH or any other organization?
If you have fired a gun, what caliber and brand?
Your answer
Identify any hunting / fishing related experiences *
Your answer
How did you hear about The Path Foundation? *
Your answer
Describe your DREAM hunting or fishing "Outdoor Adventure"
Your answer
Identify any physical and/or mental limitations, as well as other medical concerns that might be a factor in this "Outdoor Adventure" *
Your answer
Brief history of life-threatening or life-challenging condition: *
Your answer
If selected to be a recipient of an "Outdoor Adventure", I would need the following special equipment: (wheel chair, gun rest, adaptive equipment, etc...) Please list all possible equipment *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service