Tennis Success Hardship Request
Tennis Success Family Number
*
Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Current Approved Weekly Fee
*
$5.00
$10.00
$15.00
$20.00
$25.00
Reason for Hardship
*
Recent job loss
Reduced work hours
Medical expenses
Death in immediate family
Divorce/Separation
Temporary financial hardship
Natural distaster
Multiple children enrolled
Other (please explain)
Please describe your situation.
*
Request Assistance
*
Temporary reducation in weekly fee
Temporary payment plan
Full scholarship consideration
Other
Expected Length of Hardship
*
30 days
60 days
90 days
Unknown
Supporting Documentation: Examples like Employer letter, Unemployment determination, Medical bill, other supporting documentation
*
Browse Files
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Parent Certification: I certify that the information provided is true and complete to the best of my knowledge.
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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