Knights Assist Program – Financial Assistance Application
Use this form to apply for Knights Assist assistance for eligible ORSC registration and mandatory participation costs. Information is kept private and reviewed only by designated ORSC program administrators. Submission does not guarantee approval and assistance depends on available funding.
Applicant / Parent or Legal Guardian Information
Applicant / Parent or Legal Guardian Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Participant
*
Confirmation
*
I am 18 years of age or older and I am the participant’s parent or legal guardian
Participant Information
Participant Full Name
*
First Name
Middle Name
Last Name
Participant Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Age
*
Confirmation
*
The participant is under 18 years of age
ORSC Program Information
ORSC Program, Division, Team, or Registration Requested
*
Season / Year
*
Registration Status (if known)
Please Select
Not registered yet
Pending
Registered
Waitlisted
Unknown
Eligible Amount Owing for This Registration (if known)
Knights Assist Funding Requested
*
Financial Circumstances
Please describe your family’s current circumstances and why assistance is needed
*
How would Knights Assist funding make the child’s participation possible?
*
Additional household considerations (optional)
Other Financial Assistance
Have you received or applied for other funding toward the same ORSC registration costs?
*
Yes
No
Source(s) of other assistance
*
Amount of other assistance received or requested per source
Status of other assistance
Please Select
Approved
Pending
Declined
Requested
Other
Eligibility / Hardship Category
Which eligibility / hardship category applies?
*
Newcomer to Canada (e.g., recently arrived; new to the community)
Household supporting one or more children in organized sport / significant sport-cost burden (e.g., multiple registrations, travel, equipment)
Employment-related financial hardship (e.g., job loss, reduced hours, unstable income)
Other exceptional circumstances (e.g., unexpected family crisis, medical expenses, temporary hardship)
Upload any supporting documents (optional)
Upload a File
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of
Applicant Declaration
*
Funding is up to $300 per eligible child per calendar year and is credited directly to the child’s PowerUp account on orsc.ca.
Signature and Date
Parent / Legal Guardian Signature
*
Date Signed
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Internal ORSC Review
Application Status
Please Select
New
Under Review
Approved
Partially Approved
Declined
More Information Required
Reviewer 1 Name
First Name
Middle Name
Last Name
Reviewer 2 Name
First Name
Middle Name
Last Name
Review Notes
Approved Amount ($)
Decision Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Account Credit Applied
Administrative Notes
Submit Application
Submit Application
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