I/We as parent/s or guardian/s or the responsible person/s, consent to Little Windmills collecting the information
provided on this form.

I/We declare that have read and agree to Little Windmills privacy guidelines. I/We understand that if I/we do not provide all the
information requested, that I/We may not be ineligible to receive assistance from Little Windmills. I/We certify that the information
provided on this application is true and correct. I/We understand that withholding information or providing false information may result
in a Little Windmills refusal of this application. If an application containing false or misleading information is accepted by Little Windmills
and support is provided I/we may be legally required to reimburse Little Windmills up to the amount they provided.