Financial Support Form

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This form is to request financial support or to pay a different amount for an event or program with Altitude Youth Ultimate.

We are offering this support guaranteed with automatic approval so once this form is submitted you will receive a discount code for the amount requested to use when you register for your event or program.

Contact mike@altitudeyouthultimate.org with questions.

DON'T FORGET TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!

Participant's name: first and last *

Participant's email address *

Relationship of Requestor to participant. *

Self

Parent

Guardian

Relative

Other:

Requestor's name: first and last *

Requestor email address *

Requestor phone number *

What program or event are you applying for financial support? (be specific - camp/team/tournament/etc.) *

Are you requesting a discount of 25%, 50% or 75%? *

25%

50%

75%

Other:

Reason for requesting financial support. *

Prefer not to say

Parent/Guardian/Requestor financial hardship

Player financial hardship

Other:

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