Summer 2024 Child Sponsorship Application Form

Summer Sponsorship Application

2024
We currently have a wait list for summer scholarships. You may add your child by completing the following questions. If you would like more information, please call 828-460-2165.
Child Name*

First NameLast Name
Age by June 1, 2024*
Parent or Guardian Name*

First NameLast Name
E-mail*
example@example.com
Contact Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Person requesting or recommending child for the program (if different than above)

First NameLast Name
Requester's Email
Requester's Phone Contact Number
Why do you feel this program would be beneficial to child's physical or emotional needs?*
What are child's long term goals?*
Other sports, clubs, or extracurriculars child participates in?
Type of sponsorship needed to be able to attend?*

FullHalf
Check any that apply. Child qualifies for:

MedicaidSNAPFree or reduced lunchIs in foster care
Week or weeks requested (click all that apply)

Pony Pals age 5-8 June 3-7, 2024. 10am - 4pm dailyPony Pals age 5-8 June 24-28, 2024. 10am - 4pm dailyRanch and Nature ages 5-12 June 17-21, 2024. 10am - 4pm dailyJr Horsemanship ages 8-12 July 8-12, 2024. 10am - 4pm dailyJr Horsemanship ages 8-12 July 15-19, 2024. 10am - 4pm dailyMiddle School Teens ages 12-14. July 22-26, 2024. 10am - 4pm dailyHigh School Teens ages 14-18. July 29-August 2, 2024. 3pm - 9pm daily
File Upload (upon request)

Cancelof
Notes (anything else you want to mention)
Should be Empty:

Summer Sponsorship Application