Sports Scholarship Application

Youth Sports Scholarship Application
Personal Information

Please fill out this section completely.
Child's Full Name*

First NameLast Name
Parent/Guardian Full Name*

First NameLast Name
Email
example@example.com
Phone Number*
Please enter a valid phone number.
Child's Date of Birth*

DayMonthYear
Child's Shirt Size*
Child's Shorts Size*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you applied for financial assistance from us before?*

YesNo
General Financial Information

Fill out the corresponding sections that best describes your situation.
What is your average household income? (Annual)*
How many immediate family members do you have? (spouse or children)*
Do you receive income from any other source(s), (support, sponsorship, etc.)?*

YesNo
Are you a BMC employee?*

YesNo
Other Circumstances

In the space below, please describe any other reasons or circumstances (past, present, or future) that you feel increase your qualification and/or need for financial assistance. (e.g., family circumstances, academic standing, ministry or other responsibilities; etc.).
Reason or Circumstance:*
Conditions Upon Acceptance
Child must have transportation to practices and/or games and be present for all sessions unless the event of illness occurs. If that is the case, please just inform BMC Staff 205-926-3360.*

Yes I understand
What sport/activity are you requesting assistance for?
Signatures
I affirm that the information in this form is true and accurate according to my knowledge.
Parent/Guardian Signature*

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Date*

DayMonthYear
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Youth Sports Scholarship Application

Personal Information

General Financial Information

Other Circumstances

Conditions Upon Acceptance

Signatures