Events – Two Top Mountain Adaptive Sports Foundation

Two Top Mountain Adaptive
Sports Foundation

Providing year round education and recreational activities that provide healthy experiences for athletes with disabilities.

Stacey Schmader, Executive Director

Bill Dietrich, Associate Director

E-mail: stacey@twotopadaptive.org

(717) 331-6895

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About
Volunteer
- Volunteer Form
Our Programs
Events
Lesson Inquiry Form
Contact

2025 Summer Activities

Please select the dates you are registering for. The Camp Dates are for 4 days with 2 days cycling and 2 days waterskiing or whitewater rafting.

Fees:

Cycling and Waterskiing – non-camp activities

Free – Veteran or member of the armed services with a disability.

Free – Family member(s) for cycling and water skiing.

Cycling and Waterskiing – Camp activities

Free – Veteran or member of the armed services with a disability.

Free – One family member 18 years of age or older for cycling and water skiing.

Whitewater Rafting

Free – Veteran or member of the armed services with a disability.

$65 – One family member

Lodging and meals are included for all events for veterans or members of the armed services with a disability.

Choose a date(s): You may choose as many dates as you feel you can attend. *

April 26/27 - Cycling
May 17/18 - Cycling
June 11 - White Water Rafting
June 21/22 - Cycling
June 25 - Rafting
June 26-29 - Camp - Cycling and Waterskiing
July 10-13 - Camp - White Water Rafting and Cycling
July 24-27 - Camp - White Water Rafting and Cycling
August 9/10 - Waterskiing
August 13 - White Water Rafting
August 21-24 - Camp - Cycling and Waterskiing
August 27 - White Water Rafting
September 6/7 - Cycling
September 13/14 - Waterskiing or Cycling
September 27/28 - Cycling
October 11/12 - Cycling
October 25/26 - Cycling

Participant Info

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Participant Details

Height *

Weight *

Branch *

Rank *

Are you active duty? *

dates hospital? Hospital

Do you know how to swim? *

Have you waterskied before? *

Have you cycled before? *

If cycling, which type of bike do you prefer?

Recumbent hand cycle
Recumbent pedal cycle
Standard two wheel bike

Have you done white water rafting before? *

Do you have any allergies? *

List allergies if any

Do you have any dietary restrictions? *

List Dietary Restrictions

Are you a registered patient at a hospital? *

List Hospital if applicable

Do you have medical clearance to participate in sports? *

Are you eligible to receive VA services and not barred? *

Disability Information

At least one choice is required.

Disability *

Amputee - Above the knee
Amputee - Below the knee
Amputee - arm
Amputee - bi-lateral
Cognitive (physical is primary)
Diabetes
Hearing Impairment - Partial
Hearing Impairment - Total
Multiple Sclerosis
Post Traumatic Stress Disorder (PTSD)
Seizure Disorder
Spinal Cord Injury
Stroke
Traumatic Brain Injury
Visual Impairment - Partial
Visual Impairment - Total
Other

Other disability details if not listed above

Spinal Cord Injury Level, ex L5

Mobility - at least one choice is required *

AFO/Leg Braces
Crutches/Walker/Cane
Manual Wheelchair - full time
Manual Wheelchair - part time
Power Wheelchair - full time
Power Wheelchair - part time
Scooter
None/Ambulatory
Other mobility

Other mobility details

Accompanying Person if applicable

We allow one family member (caregiver) to attend with you. If someone will accompany you, please fill out the information below. Accompanying person must be 18 or older. (Only one room will be provided. If an extra is needed for your caregiver, it will be at your expense)

Name of Accompanying Person

Is equipment needed?

Emergency Contact

Name *

Phone *

Additional Information

Question/Comment

Two Top Mountain Adaptive Sports Foundation

Participant Info

Participant Details

Disability Information

Accompanying Person if applicable

Emergency Contact

Additional Information

SPONSORS

Two Top Mountain Adaptive
Sports Foundation