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Scholarship Application

  1. FInal PnR LOGO
  2. #1

    Legal Parent/Guardian #1

  3. #2

    Legal Parent/Guardian #2 (if applicable)

  4. Electronic Signature Agreement*

    I certify that all the information provided in connection with this Youth Scholarship Application is true and complete to the best of my knowledge and belief.  I consent to the disclosure of such information for purposes  of income verification related to my application for financial assistance.  I understand that  any willful misstatement of material fact will be grounds for disqualification.  Funding for scholarships is limited. By accepting scholarship funds, the parent/guardian agrees to the commitment of the child’s full participation in the activity.   Scholarship recipients with poor attendance or considered a “no show” will be eliminated from scholarship consideration for the duration of one year.  Repeat offenders will be permanently eliminated from consideration.


    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

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