ROCKET
MT. PLEASANT
ROCKET FOOTBALL
2014 Season Registration Scholarship Application Form This form is for those applying for financial assistance for the registration fees associated with Mt. Pleasant Youth Football.
The Mt. Pleasant Youth Football program provides registration fee scholarships to local athletes, who without this financial assistance would not otherwise be able to participate. This scholarship is intended to reduce or waive the registration fee for eligible youth. Your application will be reviewed by the Mt. Pleasant Youth Football Scholarship Committee and will be assessed based upon multiple criteria. Please be aware that our scholarship funds are limited and assistance will be dependent on the available funds and actual need shown. The Registration Scholarship Committee will review your application and determine if you qualify for an award. Any personal information you are required to provide will be kept confidential within the Mt. Pleasant Youth Football Registration Scholarship Committee. Requirements for eligibility • Athlete must be between the ages of 8-14. • Commitment to attend a minimum of 90% of scheduled practices and games. (Away games require travel provided by parents/guardians) • Participation by a parent/family member in a volunteer opportunity during the scholarship season. (This can include working concessions, 50/50 raffles, equipment hand out/turn in, field greeters and other areas for the program.) • Application must be complete by a parent or guardian with all requested information provided. (Incomplete applications will not be considered).
Player Information. Please print. Date of Application: ________________________________________________ Participants Name: ______________________________________________________________________________ Participants Date of Birth: ____________________________ School in Fall 2014: ____________________________ Address: _______________________________________________________________________________________ City: ___________________________________________ State:________________________ Zip: ______________ ☐ New Player
☐ Returning Player – Name of previous coach _______________________________________
Please explain your request/circumstances for assistance: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Please complete next page.
Parent Information: Parent/Guardian Name: __________________________________________________________________________ Parent/Guardian Address (if different than participant) ______________________________________________________________________________________________ City: ___________________________________________ State:________________________ Zip: ______________ Parent/Guardian Phone __________________________________________________________________________ What is the annual household income? _____________ How many children in household under 18? ___________ What is the maximum amount you can pay toward the registration fee? ___________________________________ Does athlete receive or qualify for the Free/Reduced price meal program through the school district? ☐ Yes ☐ No If awarded with a scholarship would you be willing to volunteer in some capacity to the 2014 Season? Check volunteer area of interest: ☐Concessions ☐50/50 raffles ☐Equipment hand out/turn in ☐Field greeter
☐Team Parent
☐Other Area
Some volunteer positions are subject to a background check with the Northern Rocket Football League.
Consent to release information I understand that just filling out the scholarship form does not guarantee that my child will be approved. I understand and agree to volunteer during the 2014 Football Season. I understand that my child’s participation in this program requires a commitment to attend 90% of the scheduled practices and games. I am aware that assistance funds are awarded for a maximum of one year, after which time it is my responsibility to reapply. I certify that this information is true and that the applicant meets all the stated scholarship requirements. Parent/Legal Guardian Signature: _________________________________________________ Date_____________ (If filling out electronically, your typed name here is your signature)
Please return the completed form to: 7074 East River Road Mt. Pleasant, MI 48858 or email to [email protected]
MPYF USE ONLY Date Received: ___________________________________________________________________________________________________ Notes: __________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Result: __________________________________________________________________________________________________________
ROCKET FOOTBALL
2014 Season Registration Scholarship Application Form This form is for those applying for financial assistance for the registration fees associated with Mt. Pleasant Youth Football.
The Mt. Pleasant Youth Football program provides registration fee scholarships to local athletes, who without this financial assistance would not otherwise be able to participate. This scholarship is intended to reduce or waive the registration fee for eligible youth. Your application will be reviewed by the Mt. Pleasant Youth Football Scholarship Committee and will be assessed based upon multiple criteria. Please be aware that our scholarship funds are limited and assistance will be dependent on the available funds and actual need shown. The Registration Scholarship Committee will review your application and determine if you qualify for an award. Any personal information you are required to provide will be kept confidential within the Mt. Pleasant Youth Football Registration Scholarship Committee. Requirements for eligibility • Athlete must be between the ages of 8-14. • Commitment to attend a minimum of 90% of scheduled practices and games. (Away games require travel provided by parents/guardians) • Participation by a parent/family member in a volunteer opportunity during the scholarship season. (This can include working concessions, 50/50 raffles, equipment hand out/turn in, field greeters and other areas for the program.) • Application must be complete by a parent or guardian with all requested information provided. (Incomplete applications will not be considered).
Player Information. Please print. Date of Application: ________________________________________________ Participants Name: ______________________________________________________________________________ Participants Date of Birth: ____________________________ School in Fall 2014: ____________________________ Address: _______________________________________________________________________________________ City: ___________________________________________ State:________________________ Zip: ______________ ☐ New Player
☐ Returning Player – Name of previous coach _______________________________________
Please explain your request/circumstances for assistance: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________________________________________________ Please complete next page.
Parent Information: Parent/Guardian Name: __________________________________________________________________________ Parent/Guardian Address (if different than participant) ______________________________________________________________________________________________ City: ___________________________________________ State:________________________ Zip: ______________ Parent/Guardian Phone __________________________________________________________________________ What is the annual household income? _____________ How many children in household under 18? ___________ What is the maximum amount you can pay toward the registration fee? ___________________________________ Does athlete receive or qualify for the Free/Reduced price meal program through the school district? ☐ Yes ☐ No If awarded with a scholarship would you be willing to volunteer in some capacity to the 2014 Season? Check volunteer area of interest: ☐Concessions ☐50/50 raffles ☐Equipment hand out/turn in ☐Field greeter
☐Team Parent
☐Other Area
Some volunteer positions are subject to a background check with the Northern Rocket Football League.
Consent to release information I understand that just filling out the scholarship form does not guarantee that my child will be approved. I understand and agree to volunteer during the 2014 Football Season. I understand that my child’s participation in this program requires a commitment to attend 90% of the scheduled practices and games. I am aware that assistance funds are awarded for a maximum of one year, after which time it is my responsibility to reapply. I certify that this information is true and that the applicant meets all the stated scholarship requirements. Parent/Legal Guardian Signature: _________________________________________________ Date_____________ (If filling out electronically, your typed name here is your signature)
Please return the completed form to: 7074 East River Road Mt. Pleasant, MI 48858 or email to [email protected]
MPYF USE ONLY Date Received: ___________________________________________________________________________________________________ Notes: __________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ Result: __________________________________________________________________________________________________________
