2021 eks PNW Pass Application Details

Section 1: Person Applying
Your Name*
The person filling out the application
First Last
Your Email*

Your Phone*
Best way to reach you if we have questions*
Relationship to Athlete*
Other Relationship to Athlete*
How did you hear about The Pass?*
Other How Heard*
Section 1.5: Parent Information
Parent/Guardian Name*
First Last
Parent/Guardian's Email:

Please provide, if available!
Parent Cell Phone Number*
Best Way to Reach Parent*
Section 2: Athlete Information
Athlete's Date of Birth*
Date Format: MM slash DD slash YYYY

Athlete's Name*
First Last
School Athlete Attends:*
Please provide the school the athlete attends. If they are homeschooled, just enter Home School.
Gender*
Race*
Please select your racial or ethnic heritage? Choose all that apply. This information is for internal use only. This will not be used to determine eligibility or shared with anyone outside of our organization except as overall statistics.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latinx
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Other
Race2
Please select your racial or ethnic heritage? Choose all that apply. This information is for internal use only. This will not be used to determine eligibility or shared with anyone outside of our organization except as overall statistics.
Old field for race
Which of the following best represents your racial or ethnic heritage? Choose all that apply. This information is for internal use only. This will not be used to determine eligibility or shared with anyone outside of our organization except as overall statistics.
Other Race
Please enter how you define your race.
Will your child like to be an Every Kid Sports All Star?
By checking yes, you are agreeing to send in testimonials, photographs, and videos of your child playing sports that Every Kid Sports can use to promote The Pass. Families that send in content that we use will receive an Every Kid Sports t-shirt for their child.
Yes, we'll be an All Star!
Upload Photo
Use this space to upload an image of your athlete; playing a sport of choice. You can also email [email protected] with your images. By uploading a photo of my child, I grant Every Kid Sports permission to use my child's likeness in a photograph, video, or other digital media ("photo") in any and all of its publications, including web-based productions, without payment or other consideration.
Accepted file types: jpg, jpeg, png, pdf.
T-Shirt Size*
Please provide t-shirt size for your child. Once we received your testimonial and photographs/videos of your child participating in their sport, we will send t-shirt to them.
Mailing Address*
Please provide a mailing address for child to receive t-shirt.

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

Section 3: Sport Information
Sport or activity grant will be used for*
Other Sport*
Please check the drop-down and select a sport. If your child's sport is not listed, please enter sport here.
Sport season start date*
Date Format: MM slash DD slash YYYY

Sport season end date*
Date Format: MM slash DD slash YYYY

Hours of participation per week*
Only enter a numerical value; do not enter words or symbols.
Section 4: Youth Sports Organization / School Information
In this section, you will provide the information about the youth sports organization or school that is hosting the sport.
What organization is hosting your sport? Ex: Park & Rec., High School / Middle School, YMCA, AYSO, etc.*
Check will be made out to this name. Please check with your YSO, School, or Activity Director and enter the full name.
Organization Hosting the Sport Address*
This is the mailing address of the Youth Sports Organization or School hosting the sport you are registering the athlete with. Please verify you have the correct MAILING address. Zipcode should only be 5 digits.

Street Address City State Zip Code

The Pass is currently only available in Alaska, Arizona, Idaho, Oregon, Montana, Washington, and Wyoming. The Pass will be available nationally soon. Check back often!
Contact at Organization*
First Last
Please provide the contact at the organization that can confirm that the season is moving forward.
Contact's Email*

Please provide the email for the primary contact at the youth sports organization.
Contact's Phone Number*
Please provide a phone number for the primary contact at the youth sports organization.
Full Cost of the Program*
What is the full cost of the program if you were to register your child for this program without support.
Grant Request ($150 Max)*
Not to exceed your child's cost to participate
Qualification Verification*
Please provide the letter verifying that your child has qualified for Free/Reduced Lunch, WIC, or SNAP, or submit the child's Foster Care Letter. Supported file formats are gif, jpg, png, pdf, heif and jpeg.
Accepted file types: gif, jpg, png, pdf, jpeg, heif.
Old Relationship to Athlete Field - Hidden
Please let us know your role or relationship to athlete

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