Financial Assistance Request Form
Please fill out the following form to request financial assistance for your Pawtucket Slaterettes Girls' and Women's Baseball 2025 Registration.  Applications are made each season and previous grants do not guarantee repeat assistance.  The amount of assistance is dependent on fund availability from sponsorship and donations at the time of request.  This year, the City of Pawtucket Sports Revitalization Program has assisted with covering program fees for eligible applicants.  Every effort is made to distribute funds fairly.
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Which division will the player be in? Please choose one.  (A separate request must be made for each player.) *
Player Full Name *
Name of parent or guardian, if player is under 18
Email *
Phone number *
Does the player qualify for free or reduced lunch, SNAP benefits, WIC, SSI, Medicaid, RITE Care, Section 8, LIHEAP, foster care or any other assistance? *
Required
Does the player (ages 5-18) live in a qualified census tract within Pawtucket? Check here: https://iparametrics.maps.arcgis.com/home/webmap/viewer.html?webmap=37933ad0c06542e284761209ab2cc7e5

Clear selection
Do you believe the player's household would meet eligibility for low to moderate income? Example: a family of 5 could not have a combined income exceeding $72, 840, a family of 3 - $60, 720... *
Are you able to provide supporting documentation to verify eligibility for the City of Pawtucket Youth Sports Revitalization Program? (Ages 5-18)
Clear selection
Please specify which type of assistance you are looking for: *
Are you willing to volunteer your time to help the league? (Volunteers must pass a BCI check)
Column 1
Yes, I could coach, help in the dugout or on the field
Yes, I could help fundraise or with concessions
Yes, but I'm not sure how?
No, regretfully not at this time
Clear selection
Is there anything else we should know to assist us in making our decision?
Submit
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