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Established in 2019, the Foxxy Hotcakes Scholarship Program is designed to help make roller derby more accessible to skaters of Central Coast Roller Derby.

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* 1. Legal first and last name

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* 2. Derby Name (If you have one, otherwise leave blank)

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* 3. Email Address

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* 4. Phone Number

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* 5. Do you identify as (pick one)

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* 6. Do you meet the financial parameters that qualify you for Medi-cal?
https://www.dhcs.ca.gov/services/medi-cal/pages/doyouqualifyformedi-cal.aspx

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* 7. If you answered yes, what type of proof-of-need will you provide in order to qualify for this scholarship? For Example: tax return, W-2 form, SNAP approval, WIC, etc. (This proof needs to be received prior to approval)

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* 8. Why do you want to play derby (besides the fact that it's the best sport on earth)?

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* 9. CCRD is run on volunteerism. What skills and strengths would you like to contribute to CCRD?

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* 10. Is there anything else you'd like for us to know about you?

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