Adventure Centers Hawaii - School or Group Application for Free Climbing

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To ensure that we can provide an inclusive and enriching experience for everyone, we kindly request your assistance in completing the qualifications questions below. Your responses will play a pivotal role in customizing our program to meet the diverse needs and aspirations of our community.
This form has been thoughtfully designed to prioritize inclusivity and ensure that individuals with fewer means have equal access to this exciting activity.

Email *

Participant Questionnaire: Bridging Barriers Through Bouldering Program

Your Full Name *

Age Range of your Students or Group *

Email & / or Phone *

School, Family or Group Name *

School or Group Address *

Select at least one of the following options to indicate your School or Group's eligibility:

Our school or group has an annual income below what allows us to afford this activity.

Our school or group's participants are eligible for government assistance programs like SNAP or Medicaid.

We have or participate in a free or reduced school lunch program.

Our school or group's participants are participate/are in the foster care system.

Our school or group's participants are experiencing homelessness or live in a shelter or transitional housing.

Our school or group's participants reside in a neighborhood or community with a documented low socio-economic status.

Our school or group's participants are from diverse cultural backgrounds and have limited English proficiency and often face additional hurdles in accessing opportunities.

Our school or group's participants are from a single-parent with limited resources.

This school or group was recommended by a community organization as a qualified individual. The community organization is:

How did you hear about this program? *

Tell us your thoughts on how many people and their ages that will participate in this program. Please expand on any thoughts on why you want to do this and how many times your school or group would want to participate. Feel free to include days of the week and hours of the day so we have an idea and can look at our schedule *

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms