Children's Foundation of Muskoka Application Form
Please read the following carefully and make sure that your application is complete.
Incomplete applications will not be considered.

• Separate applications must be filled out for each child
• References cannot be the person or organization that is receiving the funds from this grant
• The foundation must be able to contact the reference
• Applications must be submitted before registration for activity (usually takes 4-6 weeks for approval)
• Up-to-date contact information is necessary for us to contact applicant. If we cannot contact you we will not consider your application
• Grants are for registration only, we do not give funds for costumes, fundraising fees etc.
• Please provide us with any other information that may be important this application
Last name of child: *
Your answer
First name of child: *
Your answer
Date of birth: *
MM
/
DD
/
YYYY
Present age of child *
Your answer
Name of Parent/Guardian: *
Your answer
Street Address: *
Your answer
Unit # (if applicable)
Your answer
Town: *
Your answer
Postal Code: *
Your answer
Contact Telephone Number(s): *
Your answer
Email Address: *
Your answer
Number of Adults in the House: *
Your answer
Number of Children in the House: *
Your answer
Total Yearly Household Income: *
Your answer
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