Start the Sea MD registration process

Journey sign-up

Required fields are marked. If you’re a clinic/nonprofit referring a family, use “Referral / Partner” in the “I am” field.

I am * Select one Parent / Guardian Participant Referral / Partner (clinic, school, nonprofit) Donor / Sponsor Volunteer / Crew Interest

Target timeframe As soon as possible Next 3–6 months Next 6–12 months Just gathering info

Name *

Email *

Phone

If you prefer text updates, include a mobile number.

Participant age

If you’re a parent/guardian, enter your child’s age.

Accessibility needs (high level) * Select one Wheelchair user Limited mobility (no wheelchair) Needs assistance with transfers Needs assistance with daily care Unsure / would like to discuss

Keep it high level. We’ll discuss details directly and privately.

Condition (optional) Prefer not to say Muscular Dystrophy ALS Other neuromuscular diagnosis Undiagnosed / in progress Do you need funding help? No Yes — seeking sponsorship Maybe — want to discuss options We have an organization who may fund Anything else we should know? (optional)

Submit Sign-Up Use Contact Page

Please do not include detailed medical information in this form. We will coordinate privately after initial review.

What happens next

After you submit, we’ll guide you through the rest of the process.

1) Fit + timing

We confirm schedule capacity and the level of support required.

2) Forms & releases

Required paperwork keeps everyone safe and aligned.

3) Payment or sponsorship

If funding is needed, we can coordinate with a clinic, nonprofit, foundation, or benefits administrator.

Need immediate help?

Use the Contact page and select your inquiry type. We’ll route it fast.