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Eligibility Requirements: <br />1. The participant must be a resident of Arden Hills. <br />2. The family must be eligible for the free or reduced lunch program at school or receive public <br />assistance. <br />3. The family must provide documentation (school district letter, WIC card, or other form) that they <br />are on the free or reduced lunch program for the current year or other public assistance program. <br />Fee Assistance Policy: <br />1. Each individual in a qualifying family will receive full assistance up to $40. <br />2. The policy limits assistance to one class per quarter per individual. <br />3. Participants will be responsible for paying any additional fees for materials, rentals, etc. <br />4. The following programs are exempt: Summer sports camps, specialty drama and science camps, <br />and field trips. <br />Parent's Name: <br />Address: <br />School Attending: <br />City. <br />Phone: <br />Is the family on fee or reduced lunch program or public assistance? <br />Child's Name Grade Activity Title Activity # <br />Zip: <br />Y N <br />Fee Fee w/assistance <br />TOTAL DUE: <br />SIGNATURE <br />I certify that all of the above information is true and correct. I understand that school officials may verify the information on this <br />application. <br />[Signature of Parent or Guardian] <br />[Date] <br />