YOUTH SAILING PROGRAM SCHOLARSHIP APPLICATION

ELIGIBILITY*
- Supplemental Nutrition Assistance Program (SNAP)
- Transitional Assistance for Families with Dependent Children (TAFDC)
- Department of Children and Families (DCF) foster care program
- MassHealth (Medicaid)
- Single Parent Household (in need of financial assist
- Grandparents Raising Grandchildren (in need of financial assistance)
- Military Family (Active Duty)
Any eligible households will be considered for scholarships. Applicants will not be required to demonstrate need. Please check any boxes that apply:
Essay Submission*
Please attach your essay explaining why you want to learn to sail or continue receiving sailing instruction. Thank you.
Participant Name*
First Last
Age*
Email*
Address*
Street Address City State ZIP Code
Parent/Guardian Name*
First Last
Parent/Guardian Phone*
Youth Sailing Program Dates/Time Requested
Emergency Contact Name*
Contact Phone #*
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