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Dare To Dream Educational Farm Program, Inc.
Application for 2010 Summer Equine Scholarships

16 Daniel Shays Highway
Orange, MA 01364
978-575-0341

Dare To Dream is pleased to once again be able to offer equine scholarships to the
Crimson Acres Riding Camp for the 2010 season. Recipients of these awards are selected
based on a combination of criteria, including financial need and the applicant's response
to the questions on this form. We welcome your application and remind you that all completed
forms must be received by Dare to Dream by May 31st. The decision of the Board is final
and all applicants will be notified by phone or mail by June 6th .

This portion of the form is to be filled out by the applicant or their parent.

Name: ____________________Phone: ( ) ______________ Age: ______

Address: __________________________________________________

Would you be able to attend without this equine scholarship? Yes ___ No ___

Number of Individuals in your household: _____

Gross Family Income: $20,000 or Less _____
$21,000 - $30,000 _____
$31,000 - $40,000 _____
$41,000 - $50,000 _____
$51,000 and Above _____

Beginner ----- ___June 28 - July 2___ July 5 - 9___ Aug 3 - 6

Intermediate ----- ___July 12 - 16 ___July 26 - 30___Aug 9 - Aug 13

Advanced ----- ___July 20 - 23

Dare To Dream Educational Farm Program, Inc.
Application for 2010 Summer Equine Scholarships

16 Daniel Shays Highway
Orange, MA 01364
978-575-0341

This portion of the form should be filled out by the applicant.

Describe one thing about yourself that you are proud of.

____________________________________________________________________________________

What do you hope to accomplish during your week at riding camp?

____________________________________________________________________________________

What do you think people can learn from working with horses?

____________________________________________________________________________________

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