SCUFC/YMCA Financial Assistance Application (Spring 2021 season)
Please complete all information below and click submit.
Parent First Name
Parent Last Name
Contact Phone Number
Include area code
Number of children in family playing SCUFC/YMCA Recreational Soccer
Player's Name(s) - Please list the names of all children playing
Polo Road Complex
Jeep Rogers YMCA
North West YMCA
Less than $25,000/year
$25,000 - $30,000/year
$30,000 - $35,000/year
$35,000 - $40,000/year
$40,000 - $45,000/year
$45,000 - $50,000/year
More than $50,000/year
Amount to be paid by applicant/child
Federal or State Aid you are currently receiving (please select all that apply)
School District Reduced or Free Lunch Plan
N/A - I am not receiving any Federal or State Aid
Please list any UNUSUAL financial obligations or hardships (i.e. Medical bills, recent loss of job).
I agree that everything stated in the above application is correct to the best of my knowledge. I also agree to provide verification of income, if requested.
I understand that I must be current with any outstanding balances due to SCUFC or SCUFC/YMCA before I will be awarded further assistance. I also understand that Payment of any balance due on the account MUST be paid in full before my child will be allowed to practice/participate in games. All decisions of the Financial Assistance Committee are FINAL.
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