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Financial Assistance

* indicates a required answer.

All information is kept confidential.

1. *

Name

2. *

Street Address

3. *

City

4. *

Zip Code

5. *

Phone Number (area code first)

6. *

Email Address

7.*

Age Range of Children (Select all that apply)

 (1 required)
4-6 7-9
10-12 13-15
16-19
8.*

Number of Children

9. *

Reason for Requesting Assistance

10.*

Members who receive financial assistance commit to serving an our volunteer committee.  As a member of our volunteer committee, you will be asked to teach/assist a class and/or assist field trips and/or events.  This can include planning classes, events and field trips, and also volunteering at the event.  NOTE: It is not a requirement to serve at EVERY event.  We only ask that you help when you are able.

 (1 required)
I agree to serve on the volunteer committee.