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ASC Stipend Application

Adaptive Sports Connection

ASC has a stipend fund to assist with program fees. It is available only to current members of ASC. Stipends are made possible by the generous contributions of donors. The funds are limited.

PLEASE NOTE: Stipends only cover event fees. No transportation costs are included.

* Required

First Name *

Last Name *

Email *

Phone *

County *

Briefly describe your disability *

Check the Sport or Program you want fee asstance for: *

Alpine or Snowboarding
Kayaking
Water Skiing
Other

If other, please describe:

Explain why you need assistance: *

How much assistance do you need:

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ASC Stipend Application

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