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CHALLENGE ASPEN MILITARY OPPORTUNITIES - ROCKY MOUNTAIN RETREAT APPLICATION

PERSONAL

// (mm/dd/yyyy)
No
Yes, I've attended 1
Yes, I've attended 2 or more
Yes, I understand.
Yes, I understand, and am willing to provide my own transportation.
Yes, I understand, but providing my own transportation isn't financially possible for me.
Yes
No
Word of mouth
Therapist or medical professional
Email
Print flyer
Social Media
Referred by friend*

MILITARY SERVICE

Active Duty
Reserves
Veteran/Retired
Army
Air Force
Marine Corps
Navy
Coast Guard
Space Force
Yes
No
Yes
No

HEALTH AND DISABILITY

Poor
Fair
Good
Excellent
Poor
Fair
Good
Excellent
No, I require a caregiver to assist me
Yes
Yes, but I require ADA accommodations
No
Walker/Cane
Manual Wheelchair
Electric Wheelchair
No
Yes
No
Yes, but I'd plan to leave it at home
Yes, and I'd plan to bring it

PROGRAM PREFERENCES & FIT

Mountain Biking
Archery
Fly Fishing
Summer Sports Sampler
Ski / Snowboard
Mountain Biking
Archery
Fly Fishing
Ski / Snowboard
None - I can't ride a bike
Beginner - I can ride on mellow gravel paths or dirt roads
Intermediate - I can ride dirt trails with some climbing and descending
Advanced - I slay technical singletrack with authority
None - I've never tried fly fishing
Beginner - I have tried fly fishing, and understand the basics
Intermediate - I can actively fish and use all equipment
Advanced - Fish fear me
None - I've never picked up a bow
Beginner - I've shot a few arrows
Intermediate - I'm able to reliably put arrows on target
Advanced - I'm a seasoned archer or bowhunter
Unsure
Skiing
Snowboarding
Adaptive Ski Equipment*
None - I am new to snowsports.
Beginner - I can make turns, come to a stop, and am comfortable on green circle terrain
Intermediate - I can connect turns, emergency stop, and am comfortable on blue square terrain.
Advanced - I can comfortably ski all terrain including black diamond - I'm a ripper

FINE PRINT

Yes
No
Yes
Yes
Yes
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