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Notice to Parent or Guardian

NOTICE TO PARENT OR GUARDIAN:
The City requires that the child receiving a Youth Activity Scholarship is from a family with a yearly income that is considered to be low to moderate, based on the number of family members who live in the child’s home. Scholarships are limited in number and will be awarded on a first come, first served basis. Eligibility does not guarantee assistance. Assistance does not guarantee program registration. Participants must pay one-half of all program fees. Youth Activity Scholarship recipients will receive up to $160 per child to be used for enrollment in any of our recreation programs. Registration and payment for programs must occur on or before September 30, 2022 to qualify.
The Parks and Recreation Department will review your application and a representative will contact you in 5-7 business days.
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Child's First Name:*
Child's Last Name*
School attended by this child:*
Child's age: *
Child's date of birth (Month/Date/Year)*
Home Address*
City*
State*
Zip Code*
Family Size (how many family members live in this child's home, including the child) *
Family Income for the Year (total income for all adults from all sources before taxes)*
Has this child received the Youth Activity Scholarship in the past?*
1. Yes
2. No
Please indicate which program(s) you are interested in enrolling your child in (check all that apply)*
1. Parks and Recreation programs or memberships (examples include, but are not limited to: Jr. NBA, Activity Center Youth Membership, swim lessons, Me & My Guy Dance)
If you chose a Parks and Recreation program or membership in the previous question, please indicate which program or membership you are interested in.*
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