To make your donation available to Cape Ability Outrigger Ohana

please provide the following information.

Cape Ability uses this information to secure your donation as

having been directed to Cape Ability Outrigger Ohana.

 Please complete and submit this form to insure your donation

can be put to the good use you intended.

Name
Number of miles donated to Disabled Sports U.S.A.
Date of the donation
E-mail	An email confirming successful submission of this form will be sent to you.

Please contact me about Cape Ability events and activities.