HOW THE MEMORIAL FUND HELPS STEP 1: DONOR INFORMATION Name ______Address______City ______State______On Feb. 15, 1961, the entire U.S. World Figure Zip ______Skating Team perished in a plane crash on its way to the World Championships. In its honor, Phone ______the Memorial Fund was created as a living Email ______endowment to benefit future skaters. The mission Date of birth: ______/______/______of the Memorial Fund is two-fold: to honor the 1961 World Team and to provide quality skaters STEP 2: CONTRIBUTION with financial aid to pursue their goals inside and outside the competitive arena. The fund is COMPETITIVE SKATERS HOW THE MEMORIAL FUND HELPS ¨ $100 ¨ $250 ¨ $500 ¨ $1,000¨ Other $______committed to awarding skating and academic ASSISTANCE PROGRAM Please note that my gift is: grants and scholarships to athletes who have ¨ In Support of ¨ In Memory of ¨ In Honor of demonstrated excellent competitive results Name ______and/or academic achievements and who have The Competitive Skaters Assistance Program (CSAP) is future potential in national and international designed to help skaters offset skating-related competition. The Memorial Fund awards these expenses including: STEP 3: RECOGNITION INFORMATION grants and scholarships through two initiatives Please let the following individual(s) know about this gift: • Coaching fees • Off-ice training, such as – the Competitive Skaters Assistance Programs • Ice time ballroom dance and bal- Name ______(CSAP) and the Academic Scholarship Program • Skating equipment let classes Address ______(ASP). Over the past sixty years the Memorial Fund • Costumes • Physical therapy and has provided more than $15 million in financial City ______State______• Choreography ex- medical expenses assistance, and supported Olympic champions penses Zip ______including Peggy Fleming, Brian Boitano, Scott ACADEMIC SCHOLARSHIP PROGRAM Hamilton, Kristi Yamaguchi, Evan Lysacek and CSAP awards are available to qualifed STEP 4: PAYMENT INFORMATION Meryl Davis and Charlie White. ladies, men’s, pairs and ice dance The Academic Scholarship Program (ASP) Payment by check: competitors at the juvenile through senior assists current and former skaters who Payable to U.S. Figure Skating, Attn: Memorial Fund 20 First Street, Colorado Springs, CO 80906 levels who demonstrate financial need and are enrolled in an accredited college or By credit card: meet the well-defined competitive university as an undergraduate or requirements. The application period is graduate student and who are actively ¨ VISA ¨ MasterCard ¨ Discover ¨ American Express between June 1 and the end of August involved in the sport of figure skating. The Card #______every year. ASP provides financial assistance to help CID ______Exp. date ______with such costs as tuition, fees, Name on card ______books and supplies. Name as you would like to be listed for recognition purposes ______Skaters receive funds based on financial need, Phone ______cumulative grade point Email ______average and level of competitive GIVE ONLINE AT achievement. Other criteria consisted www.1961MemorialFund.com include volunteering at local clubs, judging or * Tax deductible donations to the Memorial Fund are recognized monthly on the U.S. Figure Skating website and in SKATING magazine. If a gift is officiating, or made in honor or in memory of an individual, U.S. Figure Skating will competiting as a send notice of the gift to the individual or family at the donor’s request member of a and upon being provided acknowledgement instructions. synchronized skating team.