KidsPlay Scholarship Application

KIDSPLAY FUNDING APPLICATION

For youth sports, and visual and performing arts instruction.
Student Name*

First NameLast Name
Name of Person completing this form*

First NameLast Name
What is your relationship to the student?*

ParentLegal GuardianOther RelativeTeacher
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
KidsPlay™ currently supports participants in K-12th grade, who demonstrate financial need by submitting a KidsPlay™ application and supporting documentation. Students must currently either reside within or attend school within the boundaries of the Orange Unified School District.
Student Grade*
Student School*
Email*
example@example.com
Email (please type email again to verify)*
example@example.com
Phone Number*

Area CodePhone Number
Name of League/Class*
Start Date*

MonthDayYear
Date
Location of class, if art or music*
if not applicable, please enter NA
Please select:*

This is a recreational sports leagueThis is a club level sports leagueThis is a music classThis is an art classThis is a City of Orange recreation class
How much is the total registration fee for this league/class?*
Mailing Address of League, Organization for check*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I am requesting additional assistance for materials, supplies or equipment.

YesNo
How much are you requesting in total financial assistance?*
How did you hear about KidsPlay™?*
In order to verify need, please submit one or more of the following with this application (by using the upload buttons below or by mail)

Copy of your child’s Federal Free Lunch Program Award letterCopy of child's Medi-Cal statement or ID cardCopy of CalFresh card (formerly SNAP)Letter explaining financial situation and reason for funding assistance requestVerification of enrollment in an OUSD Grip program (can be coordinator confirmed)Referral from school administrator. (Please provide name and phone number of person referring)
Name of person referring you to KidsPlay™
Upload Document One

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Upload Document Two

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KIDSPLAY FUNDING APPLICATION