Youth Sports Scholarship Program

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Naz Sports

Youth Sports Scholarship Program Valley Community Outreach (VCO) and Naz Sports provide registration fee scholarships to help eligible youth participate in sports programs throughout the entire Visalia/Tulare area. This scholarship program provides assistance to youths from low income families who are not currently being served by existing scholarship or fee waiver programs. Eligibility: To be eligible for a scholarship, a child should: Qualify for or be currently receiving assistance from one or more of the programs listed below:  Free or Reduced School Lunch  Temporary Assistance for Needy Families  Aid for Dependent Children AND  Foster Care  Medicaid  Current Personal Financial Shortfall

Meet each of the criteria listed below:  Live in Tulare County  Be enrolled in school  Commit to attend a minimum of 80% of game  Not be currently served by an existing scholarship or fee waiver program

Priority may be given to eligible youth recommended by their school or social worker. To Apply: 1. Applications (reverse side) must be submitted for each sports season being considered. Parents or Guardians should sign and complete the application and submit it to Naz Sports. 2. Attach a letter of recommendation from their school (Teacher or Administrator). 3. Deliver both items to the Naz Sports office at: Naz Sports 3333 W. Caldwell Ave. Visalia, CA 93277 Or email to: [email protected]

Naz Sports (559) 734-2629 www.nazsports.org

Naz Sports Scholarship Application PARENTS: COMPLETE THIS FORM AND SUBMIT IT TO NAZ SPORTS ALONG WITH YOUR LETTER OF RECOMMENDATION. Child’s First Name: Parent/Guardian’s First Name: Child’s Last Name:

Parent/Guardian’s Last Name:

Age:

Street Address:

Gender:

City, State and Zip

Date of Birth:

Daytime Phone:

School:

Evening or Cell Phone:

Grade:

Email Address:

We are in need of financial assistance because of the following reason: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________  Which sport are you registering to play? ________________ (Basketball, Indoor Soccer, T-ball/Baseball, Flag Football, Outdoor Soccer, Fall Cheer Leading or Winter Cheer Leading)

How much assistance are you requesting?

□ 100% □ 50% □ 25%

REQUEST FOR FEE WAIVER or EQUIPMENT VOUCHER We are requesting a fee waiver because of the above described situation or we are currently enrolled in a public assistance program such as Free or Reduced Lunch, ADC, Foster Care, or Medicaid. I request a fee waiver or equipment voucher for the Naz Sports Scholarship Program and give my permission for the School or County Services to release information verifying my eligibility. I understand that I do not have to be receiving services in order to be eligible for a scholarship.

Signature of Parent/Guardian ___________________________________________Date: ______________ A non-returnable copy of official documentation signifying that the child is receiving aid should be attached if available.