Scholarship Request Form

1
Parent/Guardian Name* This field is required.Please enter your name
First Name
Last Name
2
Participant Name* This field is required.Name of youth participant whom you are requesting a scholarship for.
First Name
Last Name
3
Email* This field is required.
example@example.com
4
Phone Number* This field is required.
Area Code
Phone Number
5
Which season are you requesting a scholarship for?* This field is required.
Spring Youth 2021 (1st-8th grade)
6
Are you requesting a full or partial scholarship?* This field is required.
Full
Partial
7
Are you currently using any of the below programs?* This field is required.
Free or reduced school lunch
Temporary Assistance for Needy Families
Aid for dependent children
Foster Care
Medicaid
No, I am not currently using any of the above programs
8
Are you requesting loaner equipment for your participant?* This field is required.
Full loaner equipment assistance
Partial loaner equipment assistance
No loaner equipment needed
9
Acknowledgement* This field is required.I understand that submission of this form does not guarantee financial assistance. I also verify that everything I have provided is true, and that I may be asked to provide additional verifying documentation before being granted a scholarship.
I agree to the above statement
Should be Empty: