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Equipment Rental Request
Looking to rent equipment? Fill out the form below, and we’ll be in touch shortly.
Contact Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
City
Participant Name (If Different Than Booking Contact)
First
Last
Participant Age
Participant Pronouns
Participant Height
Please specify ft or cm
Participant Weight
Please specify lbs or kg
Medical Diagnosis Type
Please Select
Spinal Cord Injury
Cerebral Palsy
Amputee
Autism Spectrum Disorder
Down Syndrome
Vision Impairment / Blind
Hearing Impairment / Deaf
Acquired Brain Injury
Seizure Disorder
None of the Above
This information help us prepare for your best possible experience.
Equipment Requested
(Required)
Please Select
Bowhead RX
Bowhead Reach
Bowhead Rogue
TrailRider
Joelette
Sit Ski (with Outriggers)
Stand-up Outriggers
VI Communication Headset
Have you used this equipment before with Rocky Mountain Adaptive (RMA)?
(Required)
Please Select
Yes
No
Are you aware that all first-time Bowhead users with RMA must complete a Private Lesson before renting?
Please Select
Yes
No
For all Bowhead rental requests, have you taken a Private Lesson with RMA in the past 2 years?
Please Select
Yes
No
For all other RMA equipment rentals, are you aware that a mandatory 30-60 minute orientation will be required?
(Required)
Please Select
Yes
No
Requested Dates (Note: Rentals are for a Single Day Only)
Please note we are unable to accommodate in any last minute activities. Booking windows are indicated on our website.
Do you require delivery?
Please Select
No, I will pick up/return the equipment at the RMA Program Office between 9 am - 4 pm
Yes - Canmore ($35)
Yes - Banff ($46)
Yes - Lake Louise or Kananaskis ($60)
Delivery location, drop off & pick up times (if known, or best estimate)
All RMA equipment rentals must be picked up and returned between 9 AM and 4 PM. Can you meet this timing?
Please Select
Yes
No
Additional Comments
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