Right 2 Play 4 All Sports Scholarship Application

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Today's Date

My child(ren) have previously received a Right 2 Play 4 all scholarship.

The R2P4A scholarship my child received alleviated financial stress for my family.

Participating in the activity/program: check all that apply:

increased child's confidence

improved my child's overall physical health

helped to grow my child's teamwork skills

improved my child's overall mood

increased my child's sense of belonging as part of team/group

Other…

Parent Name(s)

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Email Address

Number of Adults in Household

Number of Children in Household

How do you describe your family?

White

Black or African American

American Indian or Alaska Native

Hispanic or Latino

Asian or Pacific Islander

Two or More

Other

Prefer not to disclose

Gross Income (as reported on your most recent Federal Income Tax filing)

Other Household Monthly Income (child support, unemployment, etc.)

If your income has changed since your most recent tax filing, please explain the reason for the change and provide your current household gross income:

Does your child(ren) participate in the Free and Reduced Lunch program?

Explanation of Financial Hardship

Have you applied for additional scholarships/assistance from other organizations for your child to participate in this extra-curricular activity/program?

Please provide where other scholarships and assistance has been applied for and how much.