Cane Quest 2023-24

Regional Collateral Order Form

Welcome to Cane Quest! Please complete the following form no later than 3 months before your regional date. Collateral forms will not be accepted after January 1st for the 2023-2024 Cane Quest season. Once completed, the National Programs (NP) Team will follow up with you to distribute all of your Cane Quest collateral materials.

Thanks again for your continued support!

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Address of Regional:
Name of Regional Coordinator (main contact):
Select Your Intended Program
Are you accepting prizes from sponsors?
Note: We provide a variety of prizes to all regionals but only a select number of regionals get the assistive technology device prize as we have a limited number of devices.


Would you like to receive a customized electronic Permission Form?
Note: Many regionals have opted to use digital Permission Forms using platforms like Google Forms, WordPress and Survey Monkey to collect the permission form information. You must make sure you are asking all the questions listed on our standard form, no exceptions. If this is the case, please note this in the “Notes” section below. And select “NO” here.