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CV BMX Scholarship Application
The Financial Assistance Scholarship program is open to race participants that identify Chehalem Valley BMX (CV BMX) as their home track.
The scholarship includes,
A Season Pass covering entry fees for local single point race events and regular gate practice at CV BMX
One (1) annual membership fee paid to USA BMX*
Complimentary use of a loaner bike and helmet for CV BMX events
A rider and their accompanying party must remain in good standing with USA BMX and CV BMX and agree to support the Code of Conduct.
*
Eligible next enrollment or after 5 races
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* Indicates required question
Applicant Name (legal guardian)
*
Your answer
email
*
Your answer
Phone Number
*
Your answer
Zip Code (home)
*
Your answer
Rider Name
*
Your answer
Rider Birthdate
*
MM
/
DD
/
YYYY
Rider Proficiency
Novice
Intermediate
Expert
Clear selection
Goals for Racing
What are the rider’s aspirations for racing? What do they hope to achieve in the upcoming season?
Your answer
Financial Need
Describe any financial circumstances that make this scholarship important for your rider to continue participating in BMX.
*
Your answer
Check any Assistance Programs that may apply to your household
SNAP
Medicare
SSI
Foster Care
WIC
Free School Lunch
Optional - email any assistance program documentation to:
chehalemvalleybmx1514@gmail.com
Community Participation (optional)
We are a completely volunteer based nonprofit, would you like to learn more about ways to contribute to the CV BMX community? (
not required for application)
Please indicate interest
Volunteer on Race Day
Join Committees for Events & Activities
Help Track Maintenance
Participate at Board & Member Meetings
Learn About Becoming a Coach/ Rider Training
Parent Participation as a Rider
Donate a Professional Skill
Other:
I have read and agree to CV BMX
Code of Conduct
and understand v
iolations of USA BMX or CV BMX policy may lead to the Scholarship being rescinded.
*
Yes
No
Thank you for your interest and supporting your rider!
We are pleased to help the community with this Scholarship program, and due to demand availability is limited. Some applicants may be entered onto a wait list.
Is there anything else you would like us to consider when reviewing your application?
Your answer
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