Leavenworth Winter Sports Club


Sponsor a Skier Funds Application

CHILD'S INFORMATION
First Name *
Last Name *
Birth Date	// (mm/dd/yyyy)
Current city/town of residence
Has this child participated in any of the LWSC Ski Teams in the past?
Did this child receive Sponsor A Skier or scholarship funds last season?

REQUEST INFORMATION
What Program or Pass are you requesting funds for?	LWSC Youth Season Pass ($110) Alpine Ski Team ($115) Nordic Sitzmarks ($100) Nordic Koos Cruisers ($165) Nordic Devos ($165) Nordic Seniors ($165) Partial funding or Other (variable)
If partial or other, please elaborate and list an amount requested.
What is the total dollar amount of your request?

PARENT/GUARDIAN INFORMATION
Parent/Guardian First Name
Parent/Guardian Last Name
Email *
Phone

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