Children's Foundation of Muskoka Application Form

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Please read the following carefully and make sure that your application is complete.
Incomplete applications will not be considered.

• Separate applications must be filled out for each child
• References cannot be the person or organization that is receiving the funds from this grant
• The foundation must be able to contact the reference
• Applications must be submitted before registration for activity (usually takes 4-6 weeks for approval)
• Up-to-date contact information is necessary for us to contact applicant. If we cannot contact you we will not consider your application
• Grants are for registration only, we do not give funds for costumes, fundraising fees etc.
• Please provide us with any other information that may be important this application

Last name of child: *

First name of child: *

Date of birth: *

YYYY

Present age of child *

Name of Parent/Guardian: *

Street Address: *

Unit # (if applicable)

Town: *

Postal Code: *

Contact Telephone Number(s): *

Email Address: *

Number of Adults in the House: *

Number of Children in the House: *

Total Yearly Household Income: *

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