CAF-Idaho Travel Assistance Request

CAF may be able to assist participants who live outside of Idaho with financial assistance in order to travel & attend a camp or clinic. Please fill out each section thoughtfully & thoroughly. The CAF-Idaho team will be reviewing applications as they are being submitted. For any questions, please reach out to April Rohr at april@challengedathletes.org

Athlete Information

First Name

Last Name

Date of Birth

Gender

Address

City

State/Province

ZIP/Postal Code

Country

Mobile Phone

Are you an individual with a permanent physical disability?

Choose disability category

Choose primary diagnosis

Please list diagnosis

Please select level

How did you acquire your disability?

What is the date of disability? MM/DD/YYYY

How many CAF events have you attended before?

Please indicate which Apex Adventure you are requesting financial assistance for:

Please indicate which type of financial assistance you are requesting?

FlightGas/MileageLodging

Please include the dollar amount breakdown for what you are requesting. (example: Flight: $400 / Lodging: $300).

Will you have guests joining you? If so, how many?

What is your level of experience with this sport?

How will attending this clinic contribute to your ongoing personal development or growth?

How do you envision yourself utilizing the knowledge or skills gained from this clinic in the future?

Field Is RequiredField Is RequiredI hereby certify that I am eighteen (18) years or older, or the parent/legal guardian of participant, and that I have read this waiver and release and I hereby do consent to the terms and conditions of the CAF Release of Liability and the CAF Participant Code of Conduct
(Type full name to electronically agree)

Parent Name (if participant is under 18)

Contact Information