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Scholarships are provided by a cooperative effort with
the Kiwanis Noon Club and the Anacortes Parks Foundation.

Name of Participant: (**Please list only one participant per form.)

Name of Parent/Guardian:KI Color Logo

Street Address, City, & Zip:

Parks Foundation Logo
Phone Number (best to reach you):

Parent/Guardian Email Address

Name of Class or Activity scholarship requested for:  (List all activities you would like a scholarship for this participant.)
**Also please be specific as to what program (i.e. Youth Soccer, City League, Boys U-10)

Reason for financial need:

Have you received a scholarship from APRD for a recreation program within the past 6 months?   

If a full scholarship is not available are you interested in a partial scholarship?   

By clicking on "submit" I am stating the the above information is true and correct to the best of my knowledge.