Adaptive Sports Association
DEADLINE for scholarship applicants: December 15, 2016
2016-17 Learn-to-Ski Scholarship Application
Yes, you can do it! You don't have to be an adventurer or athlete to apply. This trip can be life changing for people of all abilities.

This scholarship program is funded through private donations. It includes 4 days of one-on-one ski instruction, lift tickets, all necessary ski equipment, 5 nights of lodging, transportation to Durango and most meals.

This scholarship is designed to accommodate individuals with a wide variety of physical and/or cognitive disabilities. Our selections are based on a wide variety of factors including disability types in a given group, capacity at our ski school, etc. It is important that you fill this application out as honestly and completely as possible. None of the questions are meant to disqualify applicants. They are meant to give our committee and ski school as much information as possible.

First name:
Your answer
Last name:
Your answer
Date of birth:
MM
/
DD
/
YYYY
Street address:
Your answer
City:
Your answer
State:
Your answer
Zip:
Your answer
Cell phone:
XXX-XXX-XXXX
Your answer
Home phone:
XXX-XXX-XXXX
Your answer
E-mail:
Your answer
Gender:
Height:
Your answer
Weight:
Your answer
Marital status:
Your answer
Occupation:
Your answer
Are you your own legal guardian?
If the answer is NO, your legal guardian or legal representative must sign the waiver & release of liability agreement on your behalf. Please provide the following information about your guardian:
Full name & relationship
Your answer
Are you an active duty service member or veteran?
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