The On the Tip of the Toes Foundation is an accredited member of Adventure Ecotourism Quebec (AEQ) which is comprised of almost 150 businesses working in the sector of adventure and ecotourism. During its audit, AEQ observed that the risk management tools and procedures of the On the Tip of the Toes Foundation are exemplary and exceed what is expected of its members. Further, they noted the quality of internal procedures, the extremely personalized care of the participants, the documentation provided, the quality of staff members as well as the close bonds formed with the health network, with the regional population, and with academic partners. Our organization is dedicated to providing an adventure with positive effects on the participants and therefore puts major emphasis on the management, control, and reduction of risk. In addition, the On the Tip of the Toes Foundation promotes therapeutic adventure to the general public and in medical settings, thus enlarging the concept of adventure tourism with beneficial consequences on other businesses in the sector. It was a tremendous honour for us to receive this award from AEQ as it is the highest distinction awarded by this organization.