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Events
Join us for a Clear Creek Canyon Hike!
June 29th, 2025 - 9am to 12pm - Clear Creek Canyon
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First Name
Last Name
Email
Phone
Preferred Contact Method
Email
Text Message
Phone Call
Street Address
City
Zip
Participant 1
Participant 2
Participant 3
Participant 4
Name
*
* If different than above
Age
?
Participant age helps us adapt our activities and materials for this and future events
Reading Level
Reads text
Reads text with visual supports
Reads using only visual supports
Communication Supports
Communicates verbally
Communicates verbally with additional supports
Communicates with an AAC device
Other:
Requires wheelchair or other mobility supports
Yes
No
Would you like a volunteer to help push a wheelchair for the hike?
Yes
No
Are there any sensory needs or behavioral supports you'd like for us to be aware of to best support you / the individual you are coming with?
Are there any health concerns we should be aware of that may impact participation?
Name
Age
?
Participant age helps us adapt our activities and materials for this and future events
Reading Level
Reads text
Reads text with visual supports
Reads using only visual supports
Communication Supports
Communicates verbally
Communicates verbally with additional supports
Communicates with an AAC device
Other:
Requires wheelchair or other mobility supports
Yes
No
Would you like a volunteer to help push a wheelchair for the hike?
Yes
No
Are there any sensory needs or behavioral supports you'd like for us to be aware of to best support you / the individual you are coming with?
Are there any health concerns we should be aware of that may impact participation?
Name
Age
?
Participant age helps us adapt our activities and materials for this and future events
Reading Level
Reads text
Reads text with visual supports
Reads using only visual supports
Communication Supports
Communicates verbally
Communicates verbally with additional supports
Communicates with an AAC device
Other:
Requires wheelchair or other mobility supports
Yes
No
Would you like a volunteer to help push a wheelchair for the hike?
Yes
No
Are there any sensory needs or behavioral supports you'd like for us to be aware of to best support you / the individual you are coming with?
Are there any health concerns we should be aware of that may impact participation?
Name
Age
?
Participant age helps us adapt our activities and materials for this and future events
Reading Level
Reads text
Reads text with visual supports
Reads using only visual supports
Communication Supports
Communicates verbally
Communicates verbally with additional supports
Communicates with an AAC device
Other:
Requires wheelchair or other mobility supports
Yes
No
Would you like a volunteer to help push a wheelchair for the hike?
Yes
No
Are there any sensory needs or behavioral supports you'd like for us to be aware of to best support you / the individual you are coming with?
Are there any health concerns we should be aware of that may impact participation?
Submit
