Scholarship Application

Please fill out the information below. Thank you.

Name of Student
Are you a student?
Estimate of Need: Lesson prices subject to change. Please phone adaptive sports for current pricing. Current lesson prices $225.00 per day child, $275.00 per day adult.
Please answer the following questions:
Do you currently receive government assistance?
Are you a member of a subsidized living program?
Are you supporting other persons besides yourself?