Scholarship Application

Students receiving free or reduced lunch are eligible to receive scholarships for Belvedere's clubs. We are working hard to expand our scholarship spots. If you would like to be considered for a scholarship spot in the future, please complete this form.

Completing this form does not automatically register your student for a club. When scholarship spots become available, we will contact eligible students.

Scholarship Application

Completing this form does not automatically register your student. When scholarship spots become available, we will contact eligible students.

Questions? Contact Belvedereclubs@gmail.com

Student's First Name

Student's Last Name

Parent's First Name

Parent's Last Name

Parent Email #1

Parent Email #2

Emergency Cell Phone #1

Emergency Cell Phone #2

Are there any allergies, medical conditions, or other notes about your child that we should know?

Please contact me about volunteering. (Volunteers who give 10 or more hours will receive one free class during then next session and priority registration. Volunteer hours are available from 4-5:30 p.m. each school day.)

I agree to the Belvedere Clubs Code of Conduct, including the 5:15pm pick up time.View Belvedere Code of Conduct.

I understand that my student qualifies for a scholarship only if they are receiving a free or reduced school lunch. I give permission to Belvedere Elementary School to provide my eligibility information to Belvedere LDL Clubs to confirm my student's enrollment in Belvedere Elementary's free/reduced lunch program.

Application Submitted!

Scholarship Application

Scholarship Application

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