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Participant Application

Thank you for your interest in Eagle Mount Billings. Our mission is to create meaningful experiences for children* and adults with disabilities through adaptive recreation. Our purpose is to provide a sense of belonging and lifelong friendships inspired by a spirit of adventure.

To get started, please provide the following information. We will be in touch shortly to guide you through next steps.

* Programs offered for children (ages 3 and up)

Applicant Information

First Name *

Last Name *

Email Address *

Phone Number *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Date of Birth *

(Youth 12 years and older are welcome to apply. Applicants under 18 years of age will need a parent or guardian present to complete registration.)

Are you a veteran or a family member of a vet? *
YesNo

Parent or Caregiver Information

First Name *

Last Name *

Relationship to Participant *

Email Address (if different from above)

Phone Number (if different from above)

Parent or Caregiver Address (if different from above)

Address Line 1

Address Line 2

City

State

Zip Code

Participant Opportunities

We offer programs all throughout the year. Which are of interest to you? Please indicate all that apply: *
ClimbingCyclingGolfOut & About Social GangOvernight Respite RetreatsSki (downhill and XC)SoccerSnowboardSpring Break CampSummer Day CampsSwim

Financial Support

Through the generosity of our community, we are able to offer limited financial support. Please check here if you wish to be considered for our sliding fee scale. *
YesNo