PLEASE PARDON OUR MESS . . .
Our website is undergoing annual maintenance.

Download:
  
  • Thank You Flyfishing: Oct 2009
      
  • Thank You Flyfishing: Sept 2009
      
  • Thank You Flyfishing: Sept 2009
      
  • Thank You Watersports: Aug 2009
      
  • News of Note
      
  • Program Highlights 2008
      
  • SVAS Annual Report 2008
      
  • Current Board and Staff
      
  • Frequently Asked Questions


    		•

    Vets:   View PDF

    Other:       

  • View PDF       
  • Sergeant Joe Danes, Testimonial Letter








    • GENERAL INFORMATION

    Please check the following that apply to you
    I served in OIF/OEF Global War on Terror
    I have a Visual Impairment or Traumatic Brain Injury
    I have a combat related injury

    Application Date:
    Camp Applying for: (order by preference)
    First/Last Name:
    DOB:


    		 Branch:


    		 Rank:


    		 Specialty:
    Height:


    		 Weight:

    		 Years In:


    		 Duty Status:
    Wars(s) served:


    		 VA contact and phone:
    Email:
    Mailing Address:
    Home Phone:


    		 Cell Phone:


    		 Work or Alt. Phone:

    DISABILITY INFORMATION
    Date of Injury:


    		 Primary Disability:


    		 Secondary Disabilities:
    How did the injury occur:
    ADDITIONAL INFORMATION
    How did you find out about SVAS:
    List previously attended Wounded Warrior events:
    What are the motivating factors for you to join our program:
    SIZES
    Jacket:


    		 T-Shirt:


    		 Shoe:


    		 Waist:
    Helmet:
    FAVORITE RECREATION AND LEASURE
    Indoor:


    		 Outdoor:


    		 Hobby:


    		 Cultural:
    Recreation goal for this event:
    Personal goal for this event:
    EXPERIENCE
    Any experience with program activities:
    If so where:


    		 Level of experience:


    		 Since Injury:


    		 Years since:
    CHECK ANY THAT APPLY BELOW
    PHYSICAL
    Allergies
    Amputee
    Arthritis
    Asthma
    Cardiovascular
    Circulation
    Congenital
    Diabetes
    Feeding Tube
    Food Allergies
    Headaches
    Heart
    Migraines
    		 COGNITIVE
    ADD/ADHD
    Disorientation
    Dyslexia
    Hallucination
    Hyperactivity
    Impusivity
    		 BEHAVIORAL
    Acting Out
    aggressive
    Self abuse
    		 EMOTIONAL
    Antisocial
    Anxiety
    Depression
    Eating Disorder
    Psychosis
    PTSD
    Substance Abuse
    Suicidal thoughts




           


    If you are having difficulty filling out this form Call Bert (208)726-9298x117