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Foxxy Hotcakes Scholarship Application
Established in 2019, the Foxxy Hotcakes Scholarship Program is designed to help make roller derby more accessible to skaters of Central Coast Roller Derby.
OK
1.
Legal first and last name
2.
Derby Name (If you have one, otherwise leave blank)
3.
Email Address
4.
Phone Number
5.
Do you identify as (pick one)
BIPOC
LGBTQIA+
Other historically marginalized person (please specify)
6.
Do you meet the financial parameters that qualify you for Medi-cal?
https://www.dhcs.ca.gov/services/medi-cal/pages/doyouqualifyformedi-cal.aspx
Yes
No
7.
If you answered yes, what type of proof-of-need will you provide in order to qualify for this scholarship? For Example: tax return, W-2 form, SNAP approval, WIC, etc. (This proof needs to be received prior to approval)
8.
Why do you want to play derby (besides the fact that it's the best sport on earth)?
9.
CCRD is run on volunteerism. What skills and strengths would you like to contribute to CCRD?
10.
Is there anything else you'd like for us to know about you?
Current Progress,
0 of 10 answered