Cereal City KIDS Triathlon Scholarship Application

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Name of child being nominated for scholarship *

Contact Name for legal guardian of child/person that will be responsible for bringing them to the event *

Email address for legal guardian of child/person that will be responsible for bringing them to the event *

Name of person nominating child *

E-mail address of person nominating child (if different from parent).

Relationship to child *

Please write a brief paragraph of why this child would benefit from being a part of the Cereal City KIDS triathlon. *

I verify that the child being nominated is available to participate in the Cereal City KIDS Triathlon on Saturday, August 19. (Helmets are required for the bike portion.) *

Yes

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