Approved
Date:
CRITERIA: This program is designed for children and youth 18 yrs. & under who cannot otherwise afford shoes due to financial means.Those that apply will not have a choice of shoe but will be given new name brand skate shoes.
Self Referral
Professional Referral
Name:
Age:
Contact #:
Shoe Size:
Explanation of how you/individual qualifies for shoes:
All information is confidential, unless you/individual signs a release of information form. All applications can be dropped off at Freedom Quest 349 Columbia Ave., Castlegar Phone 250-304-2676 for more info.
FREEDOM QUEST
Regional Youth Services
Street Dreamz Boardshop Inc. 7923 120th Street, Delta B.C. CANADA Phone: 604 - 590 - 4553 Email:streetdreamz@hotmail.ca