Kids Soar Application

Financial assistance for extra curricular activities for foster kids in our service area. Please complete one application per applicant, per activity.
Due to limited funding we are only accepting applications twice a year, per child. Do Not pay for an activity until notified of approval & the dollar amount approved

Foster Name

Date of Birth

Male or Female

Male

Female

For grant reporting purposes: applicants race / ethnic group

Address

Street Address City State ZIP Code

Guardian First Name

Guardian Last Name

Phone

Email(Required)

Name of Placement Agency

List extra curricular activity of choice

Date activity begins

Date activity ends

Name of organization managing activity

Organization contact name

Organization Phone

Total cost of this activity $

Is this a one time or ongoing fee?

Amount of assistance requested $

Date fee is due

Is this a new experience or a continued activity for the child?

New Experience

Continued activity

Unknown

Have you applied for assistance for this activity with any other source?

Yes

List full name of siblings or other fosters in the same household who also applied:

Guardian Comments

NOTE: Documentation of Foster Placement / Guardianship required for reimbursement. Amount of assistance given is based on current applications, financial need & available funds. Verification of financial need may be required for requests over $250. or ongoing activity fees. Submit paid receipt within 60 days from start of activity for reimbursement of approved amount.

Foster Parent / Guardian Signature(Required)

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