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Please indicate the county in which you live.
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What month were you born?
Are you a:
Veteran
First Responder
Military Spouse
Gold Star Family
Civilian Supporter
What is your motivation in joining 10 CAN? Select one (you’ll still have a chance to explore both paths later):
I’m seeking therapeutic outdoor experiences for healing or growth
I’d like to serve, lead, or use my skills for a greater mission
Both
Not sure yet
Purpose Driven and Therapeutic Programs
Which of the following are you interested in? (Select all that apply)
Kayaking
Aquatics
Hunting
Wilderness training
Hiking
Extreme adventures
Bowfishing
Equine Therapy
Shooting Sports
Conservation Projects
Family Events
Women's Programs
Faith-Based Healing
Other
Specific Program Preferences
Do you require any accommodations or support to fully participate in our programs, or do you have a self-identified disability rating that may impact your participation? (Optional)
Mobility assistance
Hearing
Vision support
Extended time for activities
Other
Skills, Experience & Certifications
Do you hold any certifications or special licenses?
CPR / First Aid
Hunter Safety
Concealed Carry
Wilderness First Responder
Mental Health Training
Law Enforcement
Military Training
Outdoor Guide License
Scuba / Dive Certified
USCG Captain's License
Firearms Instructor
Medical License (EMT, RN, etc.)
Other
Career and Skill Set
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