Get to Know You Form

Tell us about yourself

a icon of two hands shaking that come together to look like a heart.

Navigating the world of adapted physical activity can be overwhelming. Calgary Adapted Hub powered by Jumpstart (CAH) is here to help. Our goal is to overcome obstacles to participation by helping you find suitable programming with ease.

Our experienced team of staff and volunteers can help you find the right program for you—but we need to know a bit about you first! The information you share will help us find reasonable and appropriate solutions in the city of Calgary.

Get the ball rolling by filling out the form or contacting us by phone or email. A member of our team will get in touch to arrange a meeting where we’ll discuss your interests and abilities.

Family needs Assessment Intake Form

Parent and Child Contact Information
Child Information
Spam Check

Thank you for submitting your form,
Please standby.

Your from has been successfully sent.
We will be in touch shortly, thank you

There were a few errors in your form.
Please follow the instructions on how to fix them and try again.