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San Francisco Recreations and Parks

McLaren Lodge in Golden Gate Park 501 Stanyan Street San Francisco, CA 94117

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SF Recreation & Parks Online Scholarship Renewal Form

Your SF Recreation & Parks activity scholarship has either expired or will be expiring soon. To renew, you will either need to agree to allow us access to the HSA/HSH databases and provide the last 4 digits of your social security number or you will need to upload the following documents:

  • 50% Scholarship Level : Requires prior year income tax  return OR Current SSI (Supplemental Security Income) statement
  • 100% Scholarship Level: Requires 2 of the following public assistance program verifications

                MediCal— provide current Notice of Action letter

                CalWORKS— provide current Notice of Action letter

                Food Stamp— provide current Notice of Action letter

                Public Housing Authority— provide rent receipt

                Foster Care— provide court order letter

                Unhoused— letter from any homelessness supporting agency                     

Scholarships will be renewed for a 2-year period. Scholarship applications may take up to 1 week to process.

Please contact Lillian Bautista, Scholarship Coordinator at  415-831-2717 or email Lillian.Bautista@sfgov.org for any questions prior to filling out this form.

1. Head of Household full name

3. Home address

• Full name

• Birth date

• Required for youth under 18 years old: Upload birth certificate or California ID for added household member(s)

Click Here to Upload

If NO

To qualify, you must upload income eligibility and verification documentation.

Applicant’s household must have an income equal to or less than 250% of the current federal poverty level, as determined by the U.S. Department of Health and Human Services’ Federal Poverty Guidelines 2022.

Upload Documentation required (provide 3 upload buttons – not required)

  • 50% Scholarship Level : Requires prior year income tax  return OR Current SSI (Supplemental Security Income) statement
  • 100% Scholarship Level: Requires 2 of the following public assistance program verifications

                MediCal— provide current Notice of Action letter

                CalWORKS— provide current Notice of Action letter

                Food Stamp— provide current Notice of Action letter

                Public Housing Authority— provide rent receipt

                Foster Care— provide court order letter

Upload Verification Document 1

Click Here to Upload

Upload Verification Document 2

Click Here to Upload

Upload Verification Document 3

Click Here to Upload

If NO

To qualify, you must upload income eligibility and verification documentation.

Applicant’s household must have an income equal to or less than 250% of the current federal poverty level, as determined by the U.S. Department of Health and Human Services’ Federal Poverty Guidelines 2022.

Upload Documentation required (provide 3 upload buttons – not required)

  • 50% Scholarship Level : Requires prior year income tax  return OR Current SSI (Supplemental Security Income) statement
  • 100% Scholarship Level: Requires 2 of the following public assistance program verifications

                MediCal— provide current Notice of Action letter

                CalWORKS— provide current Notice of Action letter

                Food Stamp— provide current Notice of Action letter

                Public Housing Authority— provide rent receipt

                Foster Care— provide court order letter

Upload Verification Document 1

Click Here to Upload

Upload Verification Document 2

Click Here to Upload

Upload Verification Document 3

Click Here to Upload

Scholarship Agreement

  1. I understand that for scholarship recipients to retain or to qualify for future financial assistance, reasonable attendance for each program (75%) is required. I will not register for summer day camp programs during any portion of personal vacation/trips.
  2. I agree to contact the program instructor prior to the start of the class if the participant needs to miss a class due to illness or other reason. If the participant needs to miss more than one class due to illness or other emergency, I agree to contact the Scholarship Coordinator, Lillian Bautista, prior to the second absence by email at Lillian.Bautista@sfgov.org or by phone at 415-831-2717. (Please dial *82.-415-831- 2717 if needing interpretation services or have a private phone number.)
  3. If I need to withdraw from a class, I agree to the minimum $14 withdrawal fee (maximum of 20% of the class fee if l am receiving a 50% scholarship), payable at the time of the withdrawal.
  4. I understand that excessive withdrawals or late withdrawals (less than 1 week before the class starts) will result in cancellation of my household scholarship.

San Francisco Recreation and Park Department Program Participation Liability Waiver

I recognize that risk of injury or potential health risk may be involved in participation in the programs offered by the City of San Francisco Recreation & Park Department. I hereby willingly assume such risk of injury or health risk for myself or for the persons for whom I am lawfully responsible and assume full responsibility before, during and after my/their participation in the programs/activity offered by the City of San Francisco Recreation & Park Department.

In consideration of the acceptance of my application and the permission to participate in programs offered by the City of San Francisco Recreation & Park Department, I, for myself, my heirs, executors, administrators, successors and assigns hereby release, waive, and forever discharge the City of San Francisco, all other organizations, associations and companies associated with any of the programs offered by the City of San Francisco, and their respective agents, employees, officials, servants, contractors, representatives, elected and appointed officials, successors and assigns of and from all claims, demands, damages costs and actions whatsoever and however caused, arising or to arise by reason of my participation in the programs or activities or any of its associated activities.

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