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2. The David Behles Scholarship is awarded to Little Canada residents that may not be able to afford to participate in programs offered by the City of Little Canada.

   David Behles was a former youth sports coach for the City of Little Canada, coaching sports teams ranging from softball to hockey. He believed that every kid deserves an opportunity to play sports. With the donation that was received in memory of David Behles, the City of Little Canada is able to offer financial aid to qualifying residents for registration and program fees of youth sports. Families can receive help with the Little Canada Parks and Recreation registration fees. All participants pay a minimum 20% of the registration fees. Families are eligible for up to $200 each year. A Parks and Recreation staff person regarding details of the award will contact you.

4. Parent/Guardian Name*
5. Participant's Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Cell Phone*
14. Work Phone:
16. Email*
18. Program/Activity for which scholarship is desired:*
20. Are you a resident of Little Canada?*

    1. Yes
    2. No
22. Do you qualify for financial assistance? (e.g. free or reduced lunch program, public assistance, or other circumstances):*

    1. Yes
    2. No
24. *If yes, supporting documentation may be requested to show the applicant qualifies for free or reduced lunch program for the current year, another public assistance program, or other circumstances.
26. By signing your name in the box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) I certify that all of the above information is true and correct. I understand that school officials may verify the information on this application. *
28. Today's Date*
    Today's Date
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30. 1. Receive an email copy of this form.
31. Email address

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32. Submit

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