James Hernandez Financial Assistance Fund
Please complete the following form to submit your request for financial assistance from the 'James Hernandez Financial Assistance Fund' (JHFAF), which is available to members of the RCSA Open Division with a demonstrated need.

The information submitted below will remain confidential and available only to those persons allowed by the charter.

Please direct any questions to the committee by sending an email to: JHFAF@rosecitysoftball.org

Enter Your Contact Information
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Team Name *
Your answer
Explanation of Financial Need
Provide the committee with a brief narrative that outlines your need for assistance, as well as the amount of aid you are requesting.

The maximum amount of aid available to any one player is based on the individual player registration fee (Currently $70 for the 2019 Season)

Explanation of Financial Need *
Your answer
Amount of Aid Requested *
Your answer
Terms and Conditions
By checking the box below, I affirm that, to the best of my knowledge, the information I have submitted is accurate and complete, and that I have reviewed the charter and agree to the limitations, responsibilities, and requirements contained within.
*
Required
Limited Waiver of Privacy to your Team Manager
To assist in the responsibilities of the manager of the team I play on regarding payment of my player dues:
*
Submit
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