2022 Youth Adventure Camp Registration

Registration for participants under 21 years of age. For those over the age of 21, please fill out the "Young Adult Adventure Camp Registration). Camp is every Wednesday beginning June 1st through August 3rd from 10am to 2pm. A payment of $75 is requested on arrival or before the event date.This registration reserves a spot for the participant signed up. We request at least a 24 hour notice cancellation prior to the event day.

Once registered you will be emailed an invoice. You may opt to pay in advance or at the start of the event. If cost is a financial burden, please fill out our Financial Aid Application.

There are a limited number of slots available. This registration will secure your Participant's slot. CDA will notify you if your participant has been placed on the waitlist. We request at least a 24 hour notice cancellation prior to the event day. This way we can offer a spot for a waitlisted participant.

Contact Information

Participant's Name

First Name

Last Name

Age:

Weight:

Legal Guardian's Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Emergency Contact's Name

First Name

Last Name

Phone

Case Worker's Name (If applicable)

First Name

Last Name

Case Worker's Phone

Case Worker's Email

Verify Email

Direct Support

Will a guardian or caregiver be attending with the participant?

Yes

If you selected "yes" to the previous question, please provide the guardian's/Caregiver's name below:

First Name

Last Name

June 1st: Cycling

Cycking the river front trail. Feel free to bring your own bike if you have one!

Cycling at CDA - Location 601 Struthers Ave.

June 8th: Lake Day

Enjoy a day of paddle sports at a private lake!

Lake Day - Location: 618 Dike Rd, GJ

June 15th: Indoor Climbing

Beat the heat with indoor climbing! A great chance to get out of the heat to build skills and strength!

Indoor Climbing - Grand Valley Climbing Gym 611 25R Rd, GJ

WAITLIST - June 22nd: Horseback Riding -WAITLIST

Therapuetic Horseback Riding at Harmony Acres!

Horseback Riding - Loma, CO

June 29th: Cycling

Cycling the river front trail. Feel free to bring your own bike if you have one!

Cycling at CDA - Location: 601 Struthers Ave.

July 6th:

Cool off with some ice time at the River City Sports Complex!

Ice Skating - Location: 2515 Riverside Pwky, GJ

July 13th: Town Float

Come float with us from Palisade Riverbend Park to Corn Lake! Drop off at Riverside Park and pick up at Corn Lake off 29 Rd.

Town Float - Riverbend Park, Palisade, CO

July 20th: Lake Day

Enjoy a day of Paddle Sports at a private lake!

Lake Day - Location: 618 Dike Rd, GJ

July 27th: Cycling

Cycling the river front trail. Feel free to bring your own bike if you have one!

Cycling at CDA - Location: 601 Struthers Ave.

August 3rd: Family Day

Celebrate the last day of Adventure camp! Yard games, Stand Up Paddle Boards and food! Families are welcome to come with their participant!

Family Day - Las Colonias Butterfly Pond at Las Colonias River Park

Participant Information

This section is intended to provide our staff and volunteers with information to best accommodate the participant. It is vital that we have this information prior to the event. Please be as specific as possible.

If you checked "yes" for allergies, please list them below:

Does the Participant take any medication that may affect their participation in the events? Please list them.

Please describe the extent of the disability/disabilities:

If you selected "other" please elaborate:

Mobility

If the participant's mobility is not impaired please skip this section

Does the Participant use any mobility/support equipment?

Orthotics

Leg Braces

Manual Wheel Chair

Motorized Wheel Chair

Uses a walker

Other

No mobility/support equipment used

Communication Needs

Only fill this section out if the Participant has communication preferences and/or barriers.

Non-verbal

Fluent Aphasia

Non-fluent Aphasia

Uses an Interpreter

Uses American Sign Language (ASL)

Non-English Speaking

Does the participant do well in a group setting?

Participant's Likes

Participant's Dislikes

Is there anything else that would help us provide the best experience for the participant?

In example, behavior management techniques, routines, normal behavior traits etc.?)

Colorado Discover Ability's Limitations

Please note that Colorado Discover Ability does not administer medications and does not provide diaper changing or catheter changing in any capacity. Caregivers and/or Guardians may participate in the activities if needed.

Transportation Considerations:

At this time Colorado Discover Ability does not provide transportation to and from events. If transportation is a limitation please contact the Program Coordinator at 970-778-5766 for options.

Lunch 11:30am-12:30pm:

With the exception of Family Day, CDA Adventure Camp does not provide lunch. Please send your participant with adequate food and beverage items. If the participant has a feeding tube, a parent/caregiver must be present to serve the participant.

Media and Release of Liability Waivers

Please use the link below to complete our release of Liabilty and Media Waivers. Participants cannot participate without a Release of Liability Waiver. If you have already completed one in the past year, you do not need to resubmit one.

Please copy this web address before pressing "submit" below. After you press submit past the web address into your browser. It will take you directly to the waivers.

https://www.waiverfile.com/b/ColoradoDiscoverAbility/ChooseWaiver.aspx