Individual Grant Application - Capitol Skating Fund

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone
Home Club
Coach
Primary Training Facility
Birthdate*
MM slash DD slash YYYY
Age*
Parent/Guardian Name
First Last
if under 18
School & Grade
Highest Test Passed & Current Competition Level(s)
Competition History
Requested Award Amount
Personal Statement*
Please describe how the award will be used to advance your skating or skating in the Washington metropolitan community. Be as specific as possible and indicate why you are deserving of this award.