Every Kid Plays! Application – Kiwanis Club of Adel, Iowa

Every Kid Plays! Application

The Adel Kiwanis created a program to assist families by covering some or all of the participation fees for their children who wish to participate in ADM activities. The Every Kid Plays! Program will reimburse up to $200 per child for families that need financial assistance.

Child's Name *

Parent(s) or Guardian(s) Name(s): *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Child's Age *

Activity *

Cost of activity including entry fees and uniforms: *

Amount of Aid Requested *

Please Note: Not to exceed $200.

Single Line Text

Organization Information

Typically checks will be made out to this organization.

Name of organization running activity *

Address of organization running activity *

Address Line 1

Address Line 2

City

State

Zip Code

Reason for Assistance *

All Information provided will remain confidential.

Phone