HIGH FIVES FOUNDATION | Return To Dirt Application

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character
Terms of Eligibility

Return to Dirt is a program service of the High Fives Foundation.


Trips are primarily need-based, awarded in fulfillment of the Return to Dirt’s mission - to provide equipment and instruction for individuals with disabilities to pilot off-road vehicles in backcountry areas otherwise impossible to access because of mobility impairment.


Before proceeding, please read through the Return To Dirt Guidelines thoroughly to understand the eligibility requirements.


RETURN TO DIRT GUIDELINES



Please provide your Information





Demographics



























Application Guidelines











Physical Challenge Information











Goals






Additional Information








Waiver & Truth Statement

Save my progress and resume later | Resume a previously saved form

Contact Information