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    Application made by:

    Relationship to applicant (required):
    Youth LeaderParentGuardianFamily Member (please specify)Family FriendOther please specify

    Application made for:

    Please state in detail the reason for the application (required:

    Please explain what fundraising efforts you have made / will make towards the cost of this holiday? (required)

    Amount requested (maximum given is 75% of the total cost per person)

    If Aquasports is unable to provide a bursary, we may apply for a bursary from another organisations, such as Youth for Christ, on your behalf. To do this we will need to use in information contained in this form.
    Do you agree to us using your information? YesNo

    I confirm that the information given is correct and true

    We will endeavour to respond to you within 28 days of receipt of your application. It may take longer if we apply for a bursary to another organisation.