WINSTON-SALEM LACROSSE, Inc. SCHOLARSHIP
WINSTON-SALEM LACROSSE, Inc. SCHOLARSHIP APPLICATION (confidential)
Applicant Information Player Name:
_____________________________________
Birthdate:
_____________
School Attending and Grade:
_________________________________________
Parent / Guardian Name(s):
___________________________________________________________
Preferred phone: Address:
___________________ Preferred email: _________________________
________________________________________________________________________
Please describe any special circumstances related to this request: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
How much of the registration fee are you able to contribute? $____________ What areas of the team or organization are you willing to support with your time or skills? ____ coaching ____ practice drills ____ team mom ____ equipment/apparel ____ special events
Signature: ________________________________________
Date: _______________________
Please return this application form to WSLax by email to [email protected] or by mail to P.O. Box Winston-Salem, NC WSLax is committed to establishing lacrosse as an athletic opportunity for participation, teamwork, and commitment to excellence for all young people, regardless of gender, race, ethnic origin, size, age, weight, or skill. As possible, WSLax will provide partial scholarships to players who need them. Full financial scholarships are not available.
Applicant Information Player Name:
_____________________________________
Birthdate:
_____________
School Attending and Grade:
_________________________________________
Parent / Guardian Name(s):
___________________________________________________________
Preferred phone: Address:
___________________ Preferred email: _________________________
________________________________________________________________________
Please describe any special circumstances related to this request: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________
How much of the registration fee are you able to contribute? $____________ What areas of the team or organization are you willing to support with your time or skills? ____ coaching ____ practice drills ____ team mom ____ equipment/apparel ____ special events
Signature: ________________________________________
Date: _______________________
Please return this application form to WSLax by email to [email protected] or by mail to P.O. Box Winston-Salem, NC WSLax is committed to establishing lacrosse as an athletic opportunity for participation, teamwork, and commitment to excellence for all young people, regardless of gender, race, ethnic origin, size, age, weight, or skill. As possible, WSLax will provide partial scholarships to players who need them. Full financial scholarships are not available.
