Ski & Ride camp application form 2020

Date: 21 - 28 March 2020

Location: Val Thorens, France

Accom: Ski-in, ski-out. Shared hostel style (max. 4 people per room). Private bathroom for each room.

* For intermediate adaptive skiers/ riders. You need to be fairly independent on chairlifts and make confident linked turns.

We can source adaptive ski equipment if required.

Full Name *

First Name Last Name

Address

Street Address
Street Address Line 2
City	County
Postcode	Country

Phone number *

E-mail *

D.O.B. *

Gender *

Male Female

Disability *

Acquired/ congenital *

Acquired Congenital

If acquired, how many years since your accident/ injury?

If SCI, please provide further info

Level Complete/ Incomplete

If other disability, please provide further info on how your symptoms can affect you

Mobility *

Walker Walker with aid Manual wheelchair user Powerchair user

Weight *

Height *

How do you ski/ board? *

Seated skiing Stand skiing Snowboarding

What ski experience have you had so far? *

Do you need to rent adaptive ski equipment? *

Yes No

Please give details on equipment required

Can you tell us why you'd like to come on this camp? *

Is there anything else about you or your disability that would be useful for us to know?

We ask for a donation towards the cost of this camp: minimum £725 - maximum £1450 (excluding flights).

The cost is subsidised for those in financial need. Please donate what you can afford within the above price range.

The donation covers 7 nights accommodation, full board, ski pass, equipment rental.

Price for transfer from airport can be provided
Price for transporting equipment from the UK to France can be provided

An able-bodied friend or relative is welcome to join you! Same pricing structure applies.

All volunteers are arranged by Access Adventures.

Please list the amount you would be able to donate (Min £725 - Max £1450) *

Would you like to bring a friend/ relative? *

Yes No

Their full name

First Name Last Name

Relationship to you

Gender

Male Female

We would like to contact you with information about our services. This may include details on camps, volunteer opportunities, how you can donate, fundraising events. We won't share your information with others without your permission, except in an emergency. Your data will be used and stored in accordance with the 'General Data Protection Regulation 2018' Please refer to our website for our full privacy policy

Please DO contact me by (please mark ALL methods you would be happy with) *

Email Phone Post

Ski & Ride Camp - Application Form