In conjunction with

Kidz Matter Martial Arts & Leadership Academy

Scholarship Application

Call 805-830-9271 • A 501(c)(3) Nonprofit Organization • EIN: 41-2605841

Athlete Information

Athlete's Full Name

Date of Birth

Age

Grade

School Attending

Parent/Guardian Information

Parent/Guardian Name

Relationship to Athlete

Phone Number

Email Address

Home Address

Scholarship Request

Which program are you requesting assistance for?

Martial Arts Classes

Uniform

Testing Fees

Other:

Scholarship Assistance Requested

Our goal is to help as many families as possible. If you are able to contribute toward tuition, please let us know what is affordable for your family.

per month(Monthly amount our family can contribute toward tuition)

Type of scholarship requested:

Full Scholarship (We are unable to contribute at this time.)

Partial Scholarship

Unsure – Please contact me to discuss options.

If requesting a partial scholarship, how much assistance are you requesting?

per month

Family Information

Number of people living in your household

Is the student currently receiving any financial assistance programs?

CalFresh

Medi-Cal

Free/Reduced Lunch

Other:

Prefer not to answer

Short Answer Questions

Why would you like your child to participate in martial arts? (2–4 sentences)

How would receiving this scholarship benefit your family? (2–4 sentences)

Tell us a little about your child. What are their strengths or interests? (Optional, 2–3 sentences)

Reason for Requesting Assistance

Please share what is prompting your scholarship request at this time.

Financial hardship / limited income

Loss of job or reduced work hours

Unexpected life event (medical, family emergency, etc.)

Single-parent household

Multiple children in activities

Recent relocation / transition

Other:

If you would like to share more about your situation: (Optional)

Please note: Scholarships are not guaranteed and are subject to change or discontinuation at any time based on available funding, grants, and program capacity. Submission of an application does not ensure approval or continued assistance.

Commitment

Please initial each statement:

My child will attend classes regularly.

I will communicate if my child cannot attend.

I understand scholarships may require periodic review.

The information provided is true to the best of my knowledge.

Signature

Parent/Guardian Signature

Date

Photo & Story Release (Optional)

I give Kidz Matter Foundation permission to use my child's first name, photograph, and/or scholarship story for newsletters, social media, and fundraising materials.

Yes

Kidz Matter Foundation • www.kidzmatterfoundation.org • 805-830-9271 • EIN: 41-2605841

For Administrative Use Only

Approved

Not Approved

Kidz Matter Executive Director Signature

Date

Scholarship Amount Approved

Effective Date