2026 VABVI Kayaking Group

VABVI Kayak Application

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This field is for validation purposes and should be left unchanged.
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Name of Scholarship Applicant*
Parent’s Name(s) if minor
If not the parent(s), name of person filing in this application
Address*
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Gender*

Essential Eligibility Requirements

Please check off the items that you are comfortable and independent in. We will talk more about the ones that you are not. Please be honest.
Are you able to:*

Medical Screening

Please check all that apply:
Check all that apply:*
Does the participant have any side effects to any of the medications he/she is taking?
Does the participant have any sensory impairments?*
Does the participant have difficulty speaking or understanding directions?
Will the person joining participant bring a:
Will the person joining the participant be able to help*
Clear Signature