Address of organisation/group:

Type of organisation or group (eg, mld school, epilepsy support group etc):

Names of participants, ages and additional need (eg Jane Smith – 16 – aspergers):

Contribution from parents/guardian/other source: (The Foundation wants to support as many people as possible with the funding available, so we do ask for a contribution to the lessons. Please indicate how much the organisation/group can contribute, either as a lump sum or on a lesson by lesson basis per participant. For many of our organisation/ group applications this can be a contribution by the parents and/or the organisation and/or a third party) We expect lessons to be taken at least once a fortnight to ensure maximum benefit to the participant.

Skiing/snow board level: (if already received lessons)

Reason for wanting to learn to ski (eg family/school holiday, improve coordination, fun):

Any other information:

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