Grayson's Gift, Inc.

Serving Individuals With Disabilities & Their Families

Karate Scholarship Info & Electronic Application

 

We are a Forsyth County United Way, 501C3 Non-profit Agency supporting individuals with disabilities and their families.  All donations are tax deductible.

                                                         

 

 

 

 

Special Needs Karate Scholarship Application

 

Applicant’s Name (Parent):            

 

Street Address:    

    

City, State, Zip: 

 

County:

 

Home Phone #:              Cell/Alternate Phone #:

 

Email: 

 

(One scholarship per household please)

Child’s Name That Will Take Karate:

 

Child’s Date of Birth:

                           

What do you feel are your child’s strengths?

What are your child’s weaknesses?

 

How do you feel Karate will benefit your child?

 

What other funding sources are currently being received by your family (include Medicaid/Medicare/Waivers/Other)?

 

Parent(s) Electronic Signature  Date 

 

By submitting this application electronically you are agreeing to terms and conditions listed  above in Exhibit “A”.

*Next application deadline is December 1, 2008

to be considered for the January-June 2009 Scholarships

*Next application deadline is December 1, 2008

to be considered for the January-June 2009 Scholarships

 

Grayson’s Gift, Inc. Karate Scholarship Information

Exhibit “A”

 

Dear Applicant,

 

Thank you for your interest in the Karate Scholarship Program being offered by Grayson’s Gift, Inc.  a limited number of students will be awarded a scholarship to attend the Adapted Karate Classes offered by Keith Mathews Kenpo Karate that will be valid until December 31^st, 2008.

 

The following stipulations are understood and agreed to by the applicant for this funding:

 

· The parent or guardian arranges transportation to and from class.

· One parent or guardian must accompany the child to the class and remain while class is in session.

· Class is scheduled for the 1^st and 3^rd Saturday of each month from 2:30pm to 3:15pm.  Occasionally classes can be rescheduled by Keith Mathews, the Instructor.  Students will be notified of any changes.

· Class takes place at facilities offered by First Christian Church, 1270 Sawnee Dr, Cumming, GA.

· Scholarship will be awarded for the period ending December 31^st, 2008.

· Funds awarded will go directly to Keith Mathews Kenpo Karate, and applied for students who have received the scholarship. (Kenpo Karate 678-493-3810)

· Parent and student must be committed to attending classes regularly.  If special circumstances arise and the student can no longer attend classes, Grayson’s Gift, Inc. must be notified immediately so that the scholarship may be transferred.

· Parent will be responsible for filling out applicable forms provided by Keith Mathews Kenpo Karate for participation in the class.

By signing the application and waiver form, you are agreeing to these terms.

 

Grayson’s Gift, Inc. shall have no liability, whatsoever for injury to person or property as a result of the participation in the Adapted Karate Class.  Grayson’s Gift, Inc. shall merely provide funding assistance, if approved, to the Applicant.

 

We look forward to serving your family’s needs in the future.

 

Sincerely,

Grayson’s Gift, Inc.

info@graysons-gift.org

678-513-2911

P.O Box 701

Cumming, Ga. 30028

To Register your family with us, please fill out the form on the contact us page, all information is used solely for grant seeking purposes.