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.

2016 Hope Award Nomination

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

Application for Cerebral Palsy Association membership/services

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)

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