Colorado Discover Ability

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New Participant Registration

Thank you for your interest in Colorado Discover Ability. To participate, we ask that you fill out this registration form so we can best meet your needs. This information also helps us secure funding for programs and offer financial aid.  Please be as specific as possible.  

If cost is a financial burden, please fill out our Financial Aid Application.

For those who receive support through Strive, MDS, and others, they may be able to help offset costs.

Veterans do not need to fill out the Financial Aid Application. The VA covers the cost of programs.

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Please select all programs you would like to participate in.
Contact Information
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First Name
Last Name
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Emergency Contact
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First Name
Last Name
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Disability Services
Services through Mesa Developmental Services (MDS) and Strive can be billed for the cost of the activities. We will directly bill the assigned caseworker.

First Name
Last Name

If the participant has a case worker, many times the case worker's organization will cover CDA participant costs and we will bill them directly.



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.
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Will a Guardian/Caregiver be accompanying the Participant?

First Name
Last Name

If you are participating with a group, such as a school, VA Rec, Assisted Living organization, or similar please list it below.
Medical Information
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Please note that CDA does not administer medications.

We ask for this information in case of an emergency so that care can be received immediately and safely.
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This information helps us determine if the activity can be safely accomplished and/or for equipment fitting purposes. Please select all that apply.

Disability
By filling out this section as in depth as possible, CDA can provide the optimal experience and continue funding for programming.
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Please select all that apply.
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Communication
Only fill this section out if the Participant has communication preferences and/or barriers.

Mobility
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Please explain the Participant's range of mobility such as stamina, balance issues, limb range of motion, or anything else that may impact the Participant's ability to participate in activities.
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Select all that apply.
Veterans
Only veterans need to fill out this section. If the Participant is not a Veteran, please skip to the next section.


Additional Information
This information helps CDA create a tailored experience for individuals.


Examples: behavior management techniques, routines, normal behavior traits etc.?)
Media and Release of Liability Waivers

Please complete our release of Liabilty (#1) and Media Waivers (#2). Participants cannot participate without a Release of Liability Waiver.  These waivers must be completed yearly. If you have already completed one in the past year, you do not need to resubmit one.

The Media Release Waiver (#2), although optional, allows CDA to use photos on our media. 

To fill out these waivers, submit this form then head to our website www.cdagj.org. On the home page, place your cursor on the "Programs" tab. A drop down labeled "Participation Waivers" will appear. Click on this label. It will redirect you to our waiver site. 

Or you can copy and paste this URL :

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

Please have these filled out at least 48 hours in advance of the activity you have signed up for. 

 

Colorado Discover Ability's Limitations
Please note that Colorado Discover Ability provides emergency care only. Personal care is the responsibility of the Participant or Caregiver. This includes toileting and administering medications.
Transportation Considerations
At this time Colorado Discover Ability cannot provide transportation to and from activities or events.