Indicate a specific dollar amount of assistance you are requesting for registration. *
Your answer
Indicate the specific dollar amount of assistance you are requesting for travel. *
Your answer
Please explain in detail why you are requesting financial assistance. We do consider surrounding circumstances for each person's need. *
Your answer
What address should we send a Travel Aid check to after attending the event (if applicable)? Please let us know if it changes. (Include street address, apt. #, city, state, post code).
Your answer
I agree to advise DiscoveryBound if, between the date of this application and the program I am attending, my financial situation changes to the extent that I will no longer require all, or part of this assistance. Please e-sign your name below. *
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Adventure Unlimited. Report Abuse