Athlete Application Form

Athlete Application Form

Complete this application in sections and upload any required documents to support your financial assistance request.
Basic Information
First Name
Last Name
Age
Grade
School
City & State

Street Address

Street Address Line 2
CityStateZip Code
Image of Athlete

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Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Consent
Sports Information
What sport do you want to play?
Please explain any selections marked Other
Type of team
Team or organization name
Coach name
Season start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Financial Need
Total Cost
Registration Fee
Equipment Costs
Uniform Costs
Travel Costs
Amount Still Needed
Payment Due Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your Story
What has prevented you from participating in this sport?
What would playing this sport mean to you?
Eligibility / Financial Circumstances
Which of the following apply to your family?

Other
Please explain any selections marked Other
Please provide a brief explanation of your financial circumstances
Upload one or more of the following: Registration invoice or fee schedule, Club/team acceptance letter, Equipment quote or shopping cart screenshot, Screenshot from the team's website showing fees.

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Public Profile Preferences for Promotion
Privacy preference (sharing your story increases the likelihood of donor support)
Profile display preference
Consent to share my story
Photo and story sharing note
Athlete Mentor Program
Would you like additional support beyond financial assistance?
What kind of support would you like?

Other
Preffered Contact Method

Other
Other Support Details
Preferred Contact Language
Should be Empty:

Athlete Application Form

Basic Information

Parent/Guardian Information

Sports Information

Financial Need

Your Story

Eligibility / Financial Circumstances

Public Profile Preferences for Promotion

Athlete Mentor Program