If your family needs financial assistance for the registration fee please complete this form.
Your Name *
Your Email *
Phone Number (Parent/Guardian): *
Child's Name *
Child's Age *
School *
Total Household Income: *
Number of People in Household *
Do you receive any government assistance? (e.g., SNAP, Medicaid, Housing) *
Why are you applying for financial assistance?
(Please explain any financial difficulties or special circumstances.)
Program Season *
Program *
Has your child participated in this sport before? *
Will your child be able to attend all practices and games? *
By signing below, I confirm that the information provided is accurate and complete to the best of my knowledge.
Parent/Guardian Signature: *
Date: *
Please verify that you are a human.
