Athletes for Kids Child Information 

(If your child's school is not on this list, please e-mail us at
(If outside this age range please e-mail us at
Additional Information
Medical Information 
Please provide the name and contact information of the school or medical professional
Say none if not relevant
Child's Home Address
Parent/Guardian #1 (Required)
Parent/Guardian # 2
Check all that apply
Demographic Information 
Providing this information helps Athletes For Kids receive critical funding. As with all of the information we collect, your demographic information will be kept confidential and never shared.
Emergency Contact # 1 / Nanny / Caregiver Information (Required)
Emergency Contact # 2 (Required)
Athletes For Kids spends approximately $1,200 to maintain and support each mentorship per year. We ask all mentee families for a nominal mentorship fee of $240/year, payable monthly, quarterly, or annually beginning once the child has been matched.
Note: Full and partial scholarship are available for those who apply (See options below).