Brooklyn Crescents Lacrosse Club Financial Assistance Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Brooklyn Crescents Lacrosse Club is pleased to be able to offer financial assistance for players who cannot cover the full equipment and team registration fees.
Please complete the application below. Applications for financial assistance are reviewed by the Brooklyn Crescents Lacrosse Club Board of Directors. All information will be kept confidential.

Parent/Guardian Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

Player Name *

Team *

Pre-K - 2nd grade

3rd and 4th grade girls

3rd and 4th grade boys

5th and 6th grade girls

5th and 6th grade boys

7th and 8th grade girls

7th and 8th grade boys

Other:

Has your child played with the Crescents before? *

Yes

If yes, how many seasons has your child played with the Crescents? *

What type of financial assistance are you requesting? *

Partial team registration fee scholarship

Full team registration fee scholarship

Partial equipment grant

Full equipment grant

Required

What is your total annual household income? *

Less than $30,000

$30,000 - $39,999

$40,000 - $49,999

$50,000 - $59,999

$60,000 - $69,999

$70,000 - $79,999

$80,000 - $89,999

$90,000 - $99,999

$100,000 or more

How many dependents are supported by your household income? *

Tell us about why you would like to be a part of the Brooklyn Crescents Lacrosse Club.

Please list or describe all financial circumstances that the Crescents Board of Directors should consider when determining financial assistance.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms