FINANCIAL ASSISTANCE FORM

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FINANCIAL ASSISTANCE FORM

DATE: PLAYER’S NAME:

PLAYER’S DOB:

PARENT / GUARDIAN NAME: ADDRESS: CITY:

STATE:

PHONE #: (

ZIP:

)

EMAIL ADDRESS:

1. Type of Financial Assistance Being Requested (Circle one) (please take into consideration that we are a volunteer non-profit organization):

o Deferred Payment (Registrant agrees to pay full amount at a later date in the season) o Partial Scholarship (Registrant agrees to pay 50% of fee and Hamilton Fairfield Little League covers) o

Full Scholarship (Hamilton Fairfield Little League pays the full registration fee)

2. Reason for Request: (Explanation of your Circumstances)

3.

In consideration of our financial assistance, are you willing to volunteer in any capacity? (Examples may include getting a sponsor, field maintenance, concessions assistance, etc.) YES / NO (please circle one)

4. If yes, please let us know what you can do to help:

Procedure: 1. 2. 3. 4.

Fill out this form completely. (The information on this form needs to agree with the information on the registration form.) Submit a request form with each registration form. The Hamilton Fairfield Little League Board will confidentially review all requests. The Board will notify the parent / guardian of the player listed on this form of its decision.

Hamilton Fairfield Little League

PO Box 1023, Hamilton, Ohio 45012-1023

[email protected] / www.HFLLOH.org