Parent/Guardian Information:
Emergency Contact Information:
Emergency contacts must be:
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18 years or older
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different from parent/guardian already listed
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a licensed driver
Liability Release Waiver:
If you are applying for financial assistance, please make sure you request the funds 2 weeks prior to program start date to ensure time for review and determination. Financial assistance is limited and is not guaranteed to all that apply for it.
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Please send an email to info@aktivemindsfoundation.org for form and further instructions.
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