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Participant Forms

The Outdoor Adventures and Wheelchair Sports program invites individuals with disabilities to participate in challenging, exhilarating adaptive recreation and wheelchair sports activities that build community and promote fitness and healing.

To participate in a trip, or in our program's annual Beat the Heat adaptive sports and recreation camp, participants must complete the following fillable forms before signing up:

Program Application

Waiver of Liability

Trip Medication Form (only if participant will require prescription medication during trip)

Scholarship Form (only if participant requests financial assistance to attend)

Please return all forms to Outdoor Adventures staff by emailing to lhilborn@casacolina.org or mailing printed copies to:

Outdoor Adventures and Wheelchair Sports Program
Casa Colina Hospital and Centers for Healthcare
255 E. Bonita Ave.
Pomona, CA 91767

For more information, please contact Lisa Hilborn, MA, CAPE, Director of Outdoor Adventures and Recreational Therapy, at lhilborn@casacolina.org or 909/596-7733, ext. 4165.

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