Dan Kelly
Foundation

Scholarships

The Dan Kelly Foundation (DK4) is committed to providing athletic opportunities for children of all ages and diverse backgrounds, guided by the belief that everyone is an athlete. We believe that sports can harness the power in kids by building character,teaching perseverance and teamwork, which ultimately builds healthy relationships and makes better community citizens.

Directions

1. Complete all required fields

2. Please use a separate form for each child

3. We will accept one application per child per year.

4. You will get confirmation when the application has been received and you will get
another email indicating the status of our decision within 30 days of submission

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Individual Application

Athlete’s Name

Athlete’s Age

Parent/Guardian

Email Address

Contact #

Mailing Address

If sport is was not listed enter it here

Cost$

Name and address of the sports/camp program you are applying for

Phone number of camp/sports program ( if available)

What date do you need the tuition or grant amount by

In a few sentences, tell us what you are looking forward to the most in participating in this sport/camp

Please provide a reference for verification of financial need, for example a social worker, housing authority official, coach, guidance counselor, instructor or teacher

Reference 1: Name/Role

Contact Info

Reference 2: Name/Role

Contact Info

I am the parent/legal guardian and give my permission for my child to participate in this sport/camp and request financial support from the DK4 Foundation.

Signature of parent/legalguardian

Application Date

Would you like to opt in to receive information about the Dan Kelly Foundation

Yes

No

By submitting this application, you consent to The Dan Kelly Foundation (and its advisors and designees) to conduct diligence to verify your qualification to receive a grant. You also acknowledge and agree that such diligence shall not be limited to contact with the individuals listed on this application.

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