CONFIDENTIAL APPLICATION FOR TUITION ASSISTANCE

 

Please complete the information requested below and return this Application to the Treasure of CBYSA. If you are requesting tuition assistance for more than one player, please fill out an application for each of the children you are asking assistance for. If you need more space to answer any of the questions below, please attach a separate sheet of paper or write on the back of this application.

 

By filling out this form, you agree to be on a CBYSA “Will Call List” of volunteers. Volunteers will be asked to donate two hours of time to CBYSA during the next soccer season.

 

  1. Contact Information
    1. Parent(s) Guardian(s)/Other Person(s) Providing Financial Support for player

                                                               i.      Name___________________________________________________

                                                             ii.      Address _________________________________________________

                                                            iii.      Phone Number ____________________________________________

                    

    1. Player

                                                               i.      Name____________________________________________________

                                                             ii.      Address __________________________________________________

 

    1. Team

                                                               i.      Team Name _______________________________________________

                                                             ii.      Division U6B U6G U8B U8G U10B U10G U12B U12G U14B U14G

                                                            iii.      Coaches Name_____________________________________________

 

    1. General Information

                                                               i.      Number of players for whom you are seeking tuition assistance this season? If you have requested tuition assistance in the past, please state the name of the player(s) , the season(s), and whether tuition assistance was granted ___________________________ ______________________________________________________________________

 

 

    1. Certification of Need

Please explain why you would like to be considered for Tuition Assistance (Include any special circumstances) _____________________________________________________

 

 

 

I hereby certify that the information provided in the application is true and accurate to the best of my knowledge and belief. I acknowledge the CBYSA reserves the right to deny or cancel tuition assistance and be reimbursed for any tuition assistance paid if I provide false or inaccurate information.

 

 

PARENT/ GUARDIAN/OTHER PROVIDING SUPPORT                                                   DATE

 

APPLICATION DUE DATE:  FEBRUARY 27TH