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Roger Kids Fund Application

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Roger Kids Fund Grant Applications MUST be received by September 1st

Youth Applicant's Name:
Youth Applicant's Address

REQUIREMENTS FOR RECEIVING A GRANT

Name of All Breed Club

B. All applicants must have parental permission to attend the ARBA national Convention AND submit proof of adult supervision during the ARBA National Convention.

Parent/Guardian #1 Name:
(required)
(required)
(required)
Parent/Guardian #2 Name: (optional)
(optional)
(optional)
(optional)
Required
Parent/Guardian #1 Signature (REQUIRED)
Parent/Guardian Signature #2 (OPTIONAL)

C. All YOUTH applying for such financial assistance must meet the following criteria and CERTIFY that:

1. I have been active for a minimum of one (1) year in a NYRCBA All Breed Club
2. I have participated in one (1) NYRCBA sponsored Youth Event/Activity 12 (twelve) months prior to submitting this request for funding
4. Youth shall be 18 years of age or under.
5. Youth shall have parental/guardian permission and certification on their plans to attend and be accompanied to an ARBA Convention in such year and to make a request for said financial aid.

YOUTH APPLICANT CERTIFICATION:

Youth Applicant Signature

PARENT/GUARDIAN #1 CERTIFICATION: (required)

Parent/Guardian #1 Signature (required)

PARENT/GUARDIAN #2 CERTIFICATION: (optional)

Parent/Guardian #2 Signature (optional)
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