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WSRC Financial Assistance Application
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Email *
Participant's First Name *
Participant's Last Name *
Participant's Email *
Participant's Phone Number *
Participant's Date of Birth *
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/
DD
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Participant's Gender *
Participant's Race/Ethnicity *
Primary Guardian's First Name *
Primary Guardian's Last Name *
Primary Guardian's Email *
Primary Guardian's Phone Number *
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone Number
West Side Rowing Club has a fee structure that depends on household income. West Side Rowing Club may request a prior year's tax returns and matching W-2's if necessary to confirm a household's income. What fee bracket are you applying under? (select one range) *
Number of Family in Household
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Adjusted Gross Yearly Income (Amount)
Do you receive any Federal Aid (WIC, HUD, SNAP, TANF, AFDC, HEAP, Medicaid, SSD, or SSI)
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What grade is the participant entering in Fall 2025? *
If you join the team, how will you get to practice? *
What school does your child attend? *
Why do you want to join WSRC? *
How did you hear about our Organization? *
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