Apply for a Scholarship/Opportunity

To get started, let us know who’s filling out this application. If you’re a parent or guardian, select the first option — you’ll complete our full application form. If you’re a teacher, coach, relative, or another advocate filling this out on behalf of a child, select the second option for a streamlined form designed for you.

I'm filling this out for my child

I'm filling this out on behalf of someone else

Step 1 of 8

12%

Participant Information

Participant Full Name(Required)

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Age(Required)

Gender(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone(Required)

Participant Email (if applicable)

School Name

Grade

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Relationship to Participant(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

Emergency Contact (if different from above)

Name

First Last

Relationship

Phone

Medical Information (If Applicable)

Primary Diagnosis / Medical Condition(s)

Is the participant under the care of a physician?

Yes

If yes, Physician Name

Physician Phone

Medications (include dosage & schedule)

Allergies (food, medication, environmental, insect, etc.)

Does the participant carry an EpiPen or inhaler?

Yes

Physical limitations or activity restrictions

Special medical equipment required (wheelchair, oxygen, feeding tube, etc.)

Dietary restrictions

Family & Life Circumstances (Confidential)

This section helps us understand challenges your child may be facing so we can prioritize and provide appropriate support. Please answer only what you are comfortable sharing.

Household & Financial Hardship

Household experiencing financial hardship

Receiving public assistance (SNAP, Medicaid, SSI, etc.)

Single-parent household

Unemployed or recently laid off parent/guardian

Experiencing housing instability

Living in temporary housing or shelter

Child qualifies for free/reduced school meals

Other

If other, please describe if comfortable

Family Circumstances

Military family (active duty, reserve, or veteran)

Parent/guardian deployed

Parent/guardian disabled

Loss of parent or close family member

Foster care or kinship care placement

Adopted child

Involvement with child protective services

Incarcerated parent

Other significant family hardship

If other, please describe if comfortable

Emotional & Social Challenges

Diagnosed mental health condition (anxiety, depression, PTSD, etc.)

Experienced trauma (optional details below)

Social isolation or bullying

Struggles with confidence or peer relationships

Behavioral challenges

Other social or emotional hardship

If other, please describe if comfortable

Optional additional information you would like us to understand about your child’s circumstances

Impact Statement (Optional but Encouraged)

Confidentiality Statement

All personal, medical, and hardship information is kept confidential and reviewed only by authorized program staff for the purpose of participant selection, safety planning, and support accommodations.

Experience & Interests

Which activity are you applying for?(Required)

Fishing Trip

Small Game Hunt

Big Game Hunt

Waterfowl Hunt

Other

If other, what activity are you applying for?(Required)

Has the participant hunted or fished before?(Required)

Yes

If yes, please describe experience(Required)

What excites the participant most about this trip?

Is the participant comfortable around firearms (if applicable)?(Required)

Yes

N/A

Has the participant completed a Hunter Safety Course?(Required)

Yes

If yes, State & Certificate #(Required)

Behavioral & Support Information

Does the participant require 1:1 supervision?(Required)

Yes

Behavioral considerations we should be aware of

Can the participant follow safety instructions independently?(Required)

Yes

Parent/Guardian Agreements

Medical Authorization

I authorize program staff and volunteers to obtain emergency medical treatment for my child if necessary.

Parent/Guardian Initials(Required)

Liability Waiver & Assumption of Risk

I understand that hunting and fishing activities involve inherent risks including but not limited to firearm use, sharp equipment, wildlife encounters, and outdoor terrain hazards. I voluntarily allow my child to participate.

Parent/Guardian Initials(Required)

Photo & Media Release

Consent

I give permission for photos/videos of my child to be used for promotional purposes.

I do NOT give permission.

Parent/Guardian Initials(Required)

Code of Conduct Agreement

I understand that my child must follow all safety rules and instructions from guides and volunteers. Failure to do so may result in dismissal from the trip.

Parent/Guardian Initials(Required)

Please attach (if applicable):

Physician approval form
Proof of Hunter Safety Certification
Letter of recommendation (teacher, doctor, social worker)
Income verification (if requesting financial assistance priority)

Max. file size: 50 MB.

Step 1 of 4

25%

Participant Information

Participant Full Name(Required)

First Last

Date of Birth(Required)

MM slash DD slash YYYY

Age(Required)

Gender(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Phone(Required)

Participant Email (if applicable)

School Name

Grade

Parent/Guardian Information

Name(Required)

First Last

Relationship to Participant(Required)

Primary Phone(Required)

Secondary Phone

Email(Required)

Family & Life Circumstances (Confidential)

This section helps us understand challenges this child may be facing so we can prioritize and provide appropriate support. Please answer only what you are comfortable sharing.

Household & Financial Hardship

Household experiencing financial hardship

Receiving public assistance (SNAP, Medicaid, SSI, etc.)

Single-parent household

Unemployed or recently laid off parent/guardian

Experiencing housing instability

Living in temporary housing or shelter

Child qualifies for free/reduced school meals

Other

If other, please describe if comfortable

Family Circumstances

Military family (active duty, reserve, or veteran)

Parent/guardian deployed

Parent/guardian disabled

Loss of parent or close family member

Foster care or kinship care placement

Adopted child

Involvement with child protective services

Incarcerated parent

Other significant family hardship

If other, please describe if comfortable

Emotional & Social Challenges

Diagnosed mental health condition (anxiety, depression, PTSD, etc.)

Experienced trauma (optional details below)

Social isolation or bullying

Struggles with confidence or peer relationships

Behavioral challenges

Other social or emotional hardship

If other, please describe if comfortable

Optional additional information you would like us to understand about this child’s circumstances

Impact Statement (Optional but Encouraged)

Confidentiality Statement

All personal and hardship information is kept confidential and reviewed only by authorized program staff for the purpose of participant selection, safety planning, and support accommodations.

Behavioral & Support Information

Does the participant require 1:1 supervision?(Required)

Yes

Behavioral considerations we should be aware of

Can the participant follow safety instructions independently?(Required)

Yes