Front Line to Finish Line Application

Yes! I am interested in applying to attend On Point Foundation’s Disabled Sports and Recreation Project: “Front Line to Finish line” workshops, events and mentors as they become available. As an integral part of recovery, confidence building and increasing self-esteem, we seek to inspire, educate and instill a positive attitude in adapting and overcoming disabilities.

Front Line to Finish Line offers people with physical challenges a committed partnership to show them “what is possible to achieve” through positive encouragement, coaching and discipline.

The On Point Disabled Sports and Recreation Project serve those who have sustained permanent physical disability while serving in a position protecting Americans home or abroad. Qualifying disabled service members may receive free membership, coaching, adaptive sporting equipment, mentorship or sponsorship in the events or disciplines of their choice.

*Annotates required fields

Today’s Date* MMDDYYYY Birth Date:* MMDDYYYY
First Name:* 
Last Name:* 
Employer Injured With:* 
Name Significant Other/Next of Kin: 
Height:  Weight:  Gender:* Male Female
Disability:* (Describe your disability in detail)
Cause of Injury:* (How were you injured?)
Date Injured:* MMDDYYYY
Location Injury Occurred:* 
Hospital recovered in: 
Estimated Recovery Time in Hospital:* 
Home Phone:*  Cell Phone: 
Email Address* 
Home Street Address:* (Not a Hospital) 
City:* State:*ALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY Zip Code:* 
Bio and Goals, use this section to tell us about you and what you hope to accomplish with ON Point Foundation. Include any awards or decorations you received while serving your country.*

Sports Participation Survey
Which sports would you like to participate in: (Check all that apply)
 Adventure Racing Alpine Skiing Archery  Basketball  Canoeing Fencing  Fishing  Golf Hunting  Kayaking  Marathon Mountain Biking Nordic Skiing  Orienteering Power-lifting  Quad Rugby Rafting  Road Biking Rock Climbing  Sailing  SCUBA Diving  Shooting  Sledge Hockey  Snowboarding  Snow Skiing Swimming  Tennis  Track and Field  Triathlon  Volleyball  Water Skiing

Terms of Application:

I accept that On Point Foundation can share this information with its chapters and with members of its staff in order to better evaluate my application. On Point Foundation will not share your information with any outside parties without your prior consent.
Accept Terms