Sports Scholarship Application

SCHOLARSHIP APPLICATION

Thank you for your inquiry regarding our scholarship program. We are requesting that you fill out the following form. For consideration, the form must be received 10 business days prior to the close of the registration you are applying for. We will review and determine eligibility based on guidelines below and let you know our decision via the email provided. As a non-profit organization we are limited in the number of scholarships we can give and still be sustainable. All scholarships granted will be partial in nature. They will typically range from 25% to 50% of the fee. Only under unique circumstances will we consider granting more than a 50% scholarship. Thank you, CLRA Board of Directors. Scholarship codes will be issued the final week of registration.
Athlete's Full / Legal Name*

First NameLast Name
Parent or Legal Guardian*
First and Last
Contact Phone Number*
ex: (888)555-3333
Physical Address*
Please include street, city, state, and zip code.
Contact E-mail (This is where the coupon will be sent)*
Athlete's Birth Date*

MonthDayYear
Gender*
Sport*
Please Select One
# of household members?
Gross annual income as reported on taxes?
(Tax returns may be requested by board prior to approval)
Amount Applying For*

25%50%
Please give a brief explanation of your financial hardship. All applications are completely confidential. *
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Codes of Conduct - For all athletes, coaches, parents, and spectators - Please Read
I, parent first and last name* , have read the Codes of Conduct and understand my responsibilities as a parent and as a spectator. I pledge to uphold the codes of conduct to the best of my abilities. Iathlete's first and last name*, have read, or have heard, the Codes of Conduct and understand my responsibilities as an athlete and as a team player. I pledge to uphold the Codes of Conduct to the best of my abilities.
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SCHOLARSHIP APPLICATION