Impact Form

Move United /

Impact Form

The Hartford is looking to celebrate and feature a few athletes on The Hartford’s Adaptive Sports Program page and Move United would like for you to be considered!

Please complete this brief form by Thursday, 1/11.
Include a clear, high resolution, action photo. If you received an equipment grant, please include an action photo with the equipment.

The Hartford's Adaptive Sports Program Impact

The Hartford is looking to celebrate and feature a few athletes on The Hartford’s Adaptive Sports Program page and Move United would like for you to be considered!

Name (First and Last)(Required)

Age(Required)

Sport(s)(Required)

Disability(Required)

Hometown(Required)

Local Adaptive Sports Program

Why are sports important to you? (Required)

What challenges have you faced to play sports? (Required)

You participated in The Hartford Competition Series or The Hartford Ski Spectacular, where you showcased your abilities and met other athletes including Team Hartford/Paralympic athletes. What does it mean to be a part of an event like this(Required)

Can you describe the feeling of the experience you had at The Hartford Ski Spectacular or The Hartford Competition Series and meeting Team Hartford/Paralympic athletes? (Required)

What are your future athletic goals?(Required)

What is something that you would like to share that someone may not know about you?

Please attach a high resolution jpg photo (action and/or head shot) of yourself. Please ensure we can clearly see the athlete's face in the picture.(Required)

Max. file size: 64 MB.

The Hartford is looking to celebrate and feature a few athletes on The Hartford’s Adaptive Sports Program page and Move United would like for you to be considered!

The Hartford's Adaptive Sports Program Impact

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