Please use this form to nominate a Colorado Springs/Pikes Peak Region community member who you feel should be honored at the Cerebral Palsy Association HOPE Award Dinner.
If you wish to apply for Services or Assistance please Click the Links below to open the PDF forms in Adobe Reader and Print them.
These forms require Adobe Reader. If you do not already have the Reader you can download it for free here: Adobe Reader
The completed Forms may be mailed to:
Cerebral Palsy Association
1322 North Academy Blvd. Suite 115
Colorado Springs, CO 80909
Or Faxed to: 719 638-0808 (Call before Faxing)