Application Date
Application Date
Applicant Name *
Applicant Name
Children's First Names:
Children's First Names:
D.O.B
D.O.B
Male \ Female
EMERGENCY CONTACT
EMERGENCY CONTACT
Phone
Phone
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Occasionally media may attend events to photograph or run news stories on our recipients. Is Calf for Kids Foundation of Lethbridge and District allowed to publish your story?
1. Proof of income (notice of assessment ) or 2 recent pay stubs. 2. Proof of marital status 3. Death certificate 4. Proof of expenses
1st Child's Name
1st Child's Name
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2nd Child's Name
2nd Child's Name
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3rd Child's Name
3rd Child's Name
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4th Child's Name
4th Child's Name
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5th Child's Name
5th Child's Name
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6th Child's Name
6th Child's Name
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I have read and completed the application and agree to the rules of the Calf for Kids Foundation of Lethbridge and District *
Date *
Date
I would be interested in information for further assistance
Date received:
Approved by:
Amount:
Disbursement:
Ty Cross at tycros@shaw.ca or phone 403 795 4816