Fee Assistance Application
Fee Assistance* is available for District 196 residents who qualify to participate in the Educational Benefits Program** (formerly called the Free and Reduced-Price Meals program) or are experiencing financial hardship.

Please complete this form and we will contact you between 8:00 a.m. and 4:30 p.m., Monday through Friday, for registration and payment.

*Excludes private/semi-private swim lessons and supply and ticket fees.
**Subject to verification
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Email *
       Fee Assistance Scale
Parent/Guardian Name (for students 18 years and younger) *
Home Address (Street, City, Zip) *
Phone Number (XXX-XXX-XXXX) *
Phone Type *
Email Address *
Will you need a language interpreter when we contact you? *
Family Member 1 (First and Last Name) *
Family Member 1 Date of Birth (Month/Day/Year) *
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Family Member 1 Course Name and Code (if known) *
Family Member 2 (First and Last Name)
Family Member 2 Date of Birth (Month/Day/Year)
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DD
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YYYY
Family Member 2 Course Name and Code (if known)
Family Member 3 (First and Last Name)
Family Member 3 Date of Birth (Month/Day/Year)
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DD
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Family Member 3 Course Name and Code (if known)
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