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FALCON HEIGHTS PARRS & RECREATION <br />2077 W. LARPENTEUR AVE. <br />FALCON HEIGHTS, MN 55113 <br />644-5050 <br />A limited number of program scholarships are available <br />for those who demonstrate financial need. Scholarships are limited <br />to one program per person per season. A completed program <br />registration form for the desired program should accompany this <br />application. You will be contacted by phone regarding the status <br />of your application. <br />ALL SCHOLARSHIP INFORMATION WILL BE KEPT CONFIDENTIAL <br />FALCON HEIGHTS PARKS & RECREATION <br />SCHOLARSHIP APPLICATION <br />Parent/Guardian Name: <br />Name of Participant: <br />Address: <br />Day Phone: <br />_C ity <br />Evening Phone: <br />Zip <br />Program for which scholarship <br />is desired: Fee: <br />Do you qualify for financial assistance: Yes No <br />Additional information supporting your need for a scholarship. <br />Date: ,1992. <br />Signature <br />