Youth Access Fund Application

Financial Assistance for Skate Park Access!

Please fill out the required information below to receive your Youth Access Fund. $65 per applicant will be awarded on a needs basis in a first-come, first-serve fashion and are limited to skaters age 24 and Under. Once you have applied we will follow up with an email within three business days to confirm your application has been received and verified. In order to redeem your funds, you must have an account with us and we will credit $65 to it that can be used for Drop-In Sessions, Private Sessions, or Lessons and camps!

Name

First Name

Last Name

How Old Are You?

What is your current age?

Email Address

Phone

(###)

###

####

Please Check All That apply

I or my family is currently on food stamps

I qualify for free or reduced lunch

I or my spouse is currently between Jobs or Unemployed

I qualify for public assistance of another kind.

Please describe why this opportunity is important to you.

How important is having safe place to skate?

On a scale from 1 to ten. 10 being most important 1 being least important.

In what ways has Alchemy Skatepark positively affected your life.