Scholarship Application

Scholarships are designed to enable as many children as possible to have a Team Breckenridge experience by providing financial assistance to families with demonstrated financial need.
Please review the Team Breckenridge Scholarship webpage for more details about the application process and guidelines for receiving a scholarship. If you need assistance filling out the application or have questions you can also contact us at (970)547-9099 or scholarships@teambrecksportsclub.com.

Deadline for submission is August 31, 2022 for athletes 12 and older. All other submissions are due no later than October 15, 2022.

Primary Parent/Guardian Name *

First Name Last Name

Primary Parent/Guardian Phone *

Please enter a valid phone number.

Primary Parent/Guardian Email *

example@example.com

City of Residence *

County of Residence *

Total number of children in household *

Total number of adults in household *

Please list the relationship of adults in household to the child(ren) being enrolled in the program (mother, father, aunts, uncles, etc.) *

Please enter the number of children for which you are requesting financial aid. Please also include the program they would like to join as well as the amount you are able to pay toward the program.

How many children are applying for a scholarship? *

Participant Information *

	Full Name	Grade	Program Joining	Parent Offer
Child 1
Child 2
Child 3
Child 4

Is the participant(s) a new or returning Team Breckenridge athlete? *

Have you received a scholarship from Team Breckenridge in the past?

If yes, did your family earn back your work deposit?

For families applying for financial needs-based scholarships there is a high degree of consideration given to participation in team volunteer needs and team based fundraising needs. Volunteering and fundraising support the scholarship funds available, therefore families applying for a financial needs-based scholarship are expected to participate above and beyond minimum expectations.

Does your family qualify for any of the following federal or state-based assistance? (Check all that apply) *

Free & Reduced Lunch Colorado Health+ None

Please select the income range of your household *

If my child was not in this program they would have these care options (select all that apply)

If other, please describe.

What do you and your child hope to gain from the Team Breckenridge experience? *

Parent Statement Explaining Financial Need and Requested Amount ($250 up to 75% of tuition, typical awards are $500-$800). If you did not earn back your work deposit, or did not participate in fundraisers, please explain why you did not and if you expect to in the upcoming season. Also, scholarship recipient families are expected to volunteer more than the minimum, especially towards team based fundraising (which supports scholarships) and should explain, as part of the parent statement, your planned volunteering for the upcoming season.

Parent Statement of Need

Please note:
Some data and information will be included within grant reports. Personal identification will not be shared in this process.
All financial information on this form is confidential and is used exclusively by Team Breckenridge and a committee of board volunteers for the purpose of assessing scholarship eligibility.

Signature *

Clear

Date *

Date

Scholarship Application

Family Information

Participant Information

Financial Needs

Childcare & Outcomes