Bursary for Families

ECFTA CHILDREN & YOUTH
BURSARY APPLICATION FORM

PARENT/GUARDIAN INFORMATION

Parent/Guardian Information *

First name

Last name

Parent/Guardian Email *

Parent/Guardian Phone *

CHILD/YOUTH INFORMATION

Child/Youth Name *

please include first and last name

Age *

Any allergies or medical concerns? *

Any behaviour or learning concerns? *

I give photo permission on behalf of my child.

if yes, please tick box

Name of individual dropping off and picking up, if other than yourself.

PROGRAM INFORMATION

Class or Camp Name *

Please view Kids Classes & Camps on our website to find program names.

Class Date or Camp Start Date *

BURSARY REQUEST

I/we are experiencing financial need and would like to be considered for a bursary. *

*No proof of income required

I/we request 50% of program fees covered.

I/we request 100% of program fees covered.

CERTIFICATION

I certify that that the information provided is true. *

Type your name (Parent/Guardian) *

Any additional information.