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2023 Scholarship Application

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  2. 2023 Parks and Recreation Scholarship Application

    Fill out completely and list everyone currently living in your household.

  3. Name, Relationship, and Phone number

  4. There is a second adult in my household*
  5. I have children in my household*
  6. How many children do you have in your household?*
  7. 1. Do you qualify for the free or reduced lunch program?*
  8. 2. Within the last 10 months has there been any financial hardship for your family?*
  9. A copy of the school nutrition letter or tax form must be turned in with this form.
  10. I verify that all the above listed information is 100% accurate. If any information is found incorrect, I understand my registration/membership will be withdrawn and my payment will be forfeited.
  11. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  12. Leave This Blank:

  13. This field is not part of the form submission.