Parent/Legal Guardian
Participant name
First Name: Last Name:
Birthday
Name of Sport
League/Club/Organization Name
Years in Organization
Has the participant received funds from Dream on Foundation previously?
How much funding is being requested?
Please justify your funding request by listing each expense and its cost. (Ex: League Dues- $150, Replacement Wheels- $60, Jersey - $75, etc.)
Please describe your financial hardship including the date the hardship occurred and the financial repercussions of the event. This is also where you may answer why you feel your funding request should be granted.