Financial Assistance Request Form

Name:

Email:

Best contact number:

Best time to reach you:

Player's Name:

Player's Age Group:

Season Requested:

Type of Assistance Requested (please choose one):

Payment Plan (able to pay entire fee over time)

Partial Fee Assistance (able to pay some of the fee but not all)

Full Fee Assistance (unable to pay any portion of the fee)

Please describe your financial circumstances that necessitate this request. (Please note information is kept confidential and only shared with decision making parties):

Are you available to volunteer your time in some capacity? (coaching, line fields, concession stand, etc)

Yes

If yes, please provide availability and areas you are able to volunteer: