Foster Scholarship Fund Application

    If you or your child needs financial aid to participate in any of our group programs, complete this online application. Funding is limited and a small co-pay is required.

    Contact Information
    Applicant/Parent Name *
    Applicant/Parent Name
    Address *
    Address
    Phone *
    Phone
    Program(s) for which you seek financial aid? *
    If this scholarship is for a child or adolescent, please provide:
    Child's Name
    Child's Name
    If this scholarship is for a child or adolescent, please provide
    Date of Birth
    Date of Birth
    If this scholarship is for a child or adolescent, please provide
    If this scholarship is for a child or adolescent, please provide
    Financial Information
    $
    Funds are limited and submission of an application does not guarantee a financial aid award. Anyone being awarded financial aid or a scholarship will be asked to pay a nominal co-pay as well as sign a contract committing to regular program attendance and arriving to session on time. *
    Referral Information