SCHOLARSHIP APPLICATION

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Organization Name This field is required

Full Name Of Organization Contact This field is required

Organization's Phone Number This field is required

Full Name of participating athlete This field is required

age of participation athlete This field is required

Full Name of Parent or Legal Guardian This field is required

Parent or legal guardian email This field is required

Number of people in the household This field is required

Gross Annual Household Income This field is required

What is the requested scholarship for? (Camps, Gear, Etc.) This field is required

Are there any special circumstances that you feel we should be aware of in determining financial assistance? This field is required

What gender do you idenfity as (Male, Female, Nonbinary)? This field is required

Please specify your ethnicity. This field is required

Do you have a disability? This field is required

What are your goals and how has wrestling impacted your life? This field is required

By typing your name below, you certify that the above information is true to the best of your knowledge and authorize The L40 Foundation to confirm. This field is required