Multisport Clinic Scholarship Application
Use this form to request a scholarship to attend our Multisport Clinic on May 15, 2021
What is your disability? (check all that apply)
Spinal Cord Injury
Have you served in the military?
Yes, active duty
The registration fee for this event is $25. How much, if any, can you afford to pay?
Please describe your financial need and how a scholarship will help you to achieve your goals
Household size (# of people in household, including yourself)
Annual Household Income
Do any of the following apply to you (check all that apply):
I am a full-time student
I am the parent of a child/children under 18
I am currently paying college tuition or repaying student loans
I am currently unemployed
I am eligible for SSI/SSDI
I receive SNAP, reduced school lunches, or other income-based assistance
Do you plan to participate in other Dare2tri programming this year (camps, practices, races, etc.)? If so, please list below.
Donations and grants are used to cover the cost of race scholarships. If requested, are you willing to write a thank-you note or provide a testimonial? (can be anonymous
Should be Empty: