Wonderfund Application
Participant First Name *
Participant Last Name *
Gender *
Birthdate *
Disability *
Address *
City *
Zip Code *
County *
Parent/Guardian 1 Name *
Parent/Guardian 1 Relationship *
Parent/Guardian 1 Email *
Parent/Guardian 1 Day Phone
Parent/Guardian 1 Evening Phone
Parent/Guardian 2 Name
Parent/Guardian 2 Relationship
Parent/Guardian 2 Day Phone
Parent/Guardian 2 Evening Phone
Parent/Guardian 2 Email
Annual Family Adjusted Gross Income *
Number of dependent children under 18 living in the home *
Number of parents living at home
Has the participant received Wonderfund before? *
How many times has the participant used Wonderfund? (N/A if Wonderfund has not been used) *
Has the participant attended Woodlands' programs before? *
How many years has the participant attended Woodlands' programs? (N/A if 0) *
Please specify the program(s) for which you are requesting Wonderfund support. *
Please indicate how much per program you can contribute. *
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