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HFC SCHOLARSHIP FUND
The Harrison Youth Soccer Club (HYSC) does not wish any player to be prohibited from playing soccer in our program through lack of economic means or any family to suffer financial hardship in order for their child to participate. HYSC has established a scholarship fund to provide assistance with the Club’s annual registration fees in appropriate cases. Grants of financial assistance are determined by the HYSC Board of Directors in its discretion based upon the resources available and the criteria set forth below. If your family would like financial assistance to facilitate payment of the registration fee, please complete this form and return it to the Club President, Jim Shanahan, at
or fax (877) 905-0633. The request for assistance and all information provided on the form will remain strictly confidential.
You may print this application by clicking on the Documents menu button on the right hand side of this screen and selecting the Scholarship Fund Application for 2010/11
1. Player’s name: _______________________________
2. Team name: _______________________________
3. Parent’s name: _______________________________
4. Address: _______________________________
5. Phone number: _______________________________
6. Email address: _______________________________
7. HFC registration fees for the 2008-2009 soccer year are as follows:
$250 for returning U-10 players and older
$340 for new U-10 players and older
$450 for U-9 players
State the amount of financial assistance you are requesting toward your child’s Club registration fee: $__________
Please provide financial and related information below and on the next page.
8. Is your combined household income:
Less than $50,000 ___________
$50,000-$100,000 ___________
$100,000-$150,000 ___________
More than $150,000 ___________
9. Describe any special or changed circumstances that have affected your ability to afford the Club’s registration fee this year.
_________________________________________________________________
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10. Please provide any additional information you think the Board of Directors should consider.
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Thank you for taking the time to complete the application. Your request will be handled confidentially, and we will respond to your request in a timely fashion. Please note that should your request for assistance be granted, you would have to re-apply next year should the need arise again.
Sincerely,
The HYSC Board of Directors
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