Financial Aid Request

I hereby request that the following participant be considered for financial aid from the ESNSA to make it possible for him/her to participate in the Nordic Program specified below in Mammoth Lakes, California.

Name of participant*

Age*

Name of program/event for which aid is required*

Cost of program: $*

Amount that participant/parent can pay*

Amount of aid requested: $*

In consideration of the aid provided, the participant and his/her family are willing to volunteer to assist ESNSA in fundraising events: yes/no*

In consideration of the aid provided, the participant and his/her family are willing to provide clerical assistance to ESNSA: yes/no*

In consideration of the aid provided, the participant and his/her family are willing to assist ESNSA by volunteering at race events: yes/no*

Email*

Applicant's name and relation to the athlete:*

Electronic signature*

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By filling and sending this form, the applicant certifies that, but for the assistance here requested from ESNSA, the Athlete referenced below will either be unable to participate in the program for which assistance is requested or the participation without the requested aid would cause financial burden on the athlete's family.