2026-2027 FYHA Financial Assistance Application
Financial Hardship Assistance Policy

Fairmont Youth Hockey Association (FYHA) believes that no child should be denied the opportunity to play hockey due to financial hardship.

In situations where a family is experiencing financial difficulty, FYHA will work with the family to help facilitate the opportunity for their child or children to participate in the program. Families requesting assistance must submit a Financial Hardship Application. The FYHA Board of Directors may request supporting documentation to verify financial need.

In some cases, families receiving assistance may be asked to “work off” a portion of the balance owed through additional volunteer hours or other approved contributions to the association.

Scope of Financial Assistance: Financial assistance through FYHA applies to:

• FYHA Player Registration Fees
• FYHA deposits for Work Hours and/or Equipment
• FYHA Equipment Rental Fees

FYHA Financial assistance does NOT cover: Travel expenses or Hotel accommodations


Scholarship Recipient Responsibilities

Families receiving financial assistance are still responsible for the following requirements:

• Pay the USA Hockey registration fee (this fee cannot be waived)
• Complete the minimum required FYHA volunteer/work hours for the season
• Sell the minimum required number of FYHA hockey books for the season

Important:
Any unsold hockey books must be returned to FYHA or the family will be invoiced for the remaining books.

⚠️ Failure to meet these requirements may make the player ineligible for financial assistance the following season.

Sign in to Google to save your progress. Learn more
Income Eligibility Guidelines

Households may qualify for financial assistance if their total household income falls within or near the guidelines below. Income should be reported as gross earnings before deductions, not take-home pay.

Do not include the following as income:

• Foster care payments
• Federal education benefits
• MFIP payments
• SNAP, WIC, or FDPIR assistance
• Military combat pay
• Assistance from the Military Privatized Housing Initiative

Name(s) and Age(s) of player(s) for whom assistance is being requested *
Name of Parent or Guardian *
Address *
Parent/ Guardian Phone Number *
Parent/Guardian Email Address *
Financial Assistance Request *
Required
Has your player(s) received financial assistance from the FYHA in the past? *
If Yes to previous question,
List which player(s) and year(s) financial assistance was received.
Do  you or your child(ren) currently qualify for any of the following government assistance programs? (Check all that Apply) *
Required
If Yes to previous question, provide Case Number (do not list EBT number)
Total Number of People in household (children & adults) *
Annual Child Income: If any children receive regular income (SSI, part-time work, etc) *
Annual Adult Income: List all adults living in the household including: Name, Employer/Income Source, Annual Income and Other income ( Social Security, Unemployment, Child Support, Disability Benefits & Rental Income.) *
Please briefly explain the reason you are requesting financial assistance. Are there extenuating circumstances that should be considered?
What additional volunteer work are you able/willing to do for the association? 
(DIBBS or other talents - please explain)
 *
I hereby certify that all the above information is true and correct, and I understand FYHA may ask to verify the information and/or ask for additional information. 
(Type your name below)
 *
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

Google Forms