Patrick Bernard Scholarship Fund Application

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

Thank you for your interest in the 2026 Patrick Bernard Scholarship!

The PBSF was created in 2024 to help keep hockey affordable for as many kids as possible. While the Tony Colosardo Scholarship (administered Funds provided by the PBSF can be used for anything hockey-related.

We are grateful for the opportunity to give back and support our hockey community. Please complete the questions below to be considered for a PBSF grant. All information provided will be kept in strictest confidence.

Email *

Parent First Name *

Parent Last Name *

How many players participate in MLYH? *

County of Residence *

Number of people in household *

Annual household income (2024 - from all sources) *

*Please note that income verification may be requested.

Have you applied for the Tony Colorado Scholarship? *

Yes

If yes above, what was your award? *

25%

50%

75%

90%

Did not apply

If awarded a gift, how will you use the funds? *

By submitting this application and signing below, you acknowledge and agree that you may be asked to volunteer at MLYH functions in exchange for any grant received. *

Please type your name below.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

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

Does this form look suspicious? Report

Forms