Adventure Guides Financial Assistance Interest Form
First Name
*
Last Name
*
Email Address
*
Phone Number
*
What school does your child attend?
*
How many years have you been in the program?
*
Please Select
Less than 1 year
1 year
2 years
3 years
4 years
5 years
6 years
7 years
Are you a part of a current circle?
*
Please Select
Yes
No
If yes, which circle are you currently in?
Why do you feel you need financial assistance for this program?
The Y is a community building organization for all. Our financial assistance program ensures anyone can participate in Y programs, despite the inability to pay the full program or membership fees.
Submit
Should be Empty: