APPROPRIATE PAPERWORK SHOWING LSC QUALIFICATIONS FOR THIS OUTREACH REGISTRATION MUST BE ATTACHED TO THIS FORM IN ORDER TO PROPERLY REGISTER THIS ATHLETE
Outreach Registration Qualifications
Please provide of one of the following: Redacted copy of Federal Tax return showing income below Federal Reduced School Lunch income Eligibility guidelines.
or
Copy of one of the following proof of assistance:
Aid to Families with Children Social Security Disability Insurance, Food Stamps, temporary Assistance to Needy Families,Supplemental Security Income, Women, Infant and Children’s Program (WICK), Medicaid, Children’s Health Insurance Plan, Section 8 Public Housing, Home Energy Assistance Program, Free/Reduced School Lunch