Scholarship Application

Player Name(Required)

First Last

Parent / Guardian Name(Required)

First Last

Parent / Guardian Email(Required)

Parent / Guardian Phone(Required)

Total Season Fees(Required)

Please list the total season fees for this season.

Scholarship Request(Required)

Please list the total amount of discount requested.

Annual Household Income (Current)(Required)

Please list your total household income projected for this year.

Dependents(Required)

Please list the current number of dependents in your household.

Assistance(Required)

Prior Scholarship(Required)

Reason (minimum of 1500 characters ~ 300 words)(Required)

Please provide detailed information on why you need this financial assistance for your son/daughter’s program fees. Please provide as much information as possible regarding your family’s financial situation. There is a minimum of 300 words required for this section.

Consent to Release Information

I understand that my signature authorizes Hunterdon Hoosiers Inc. to obtain verification of all information on this application and that additional information may be necessary for approval of this application. I certify that all of the information on this form is true and correct. I understand that this application does not guarantee an opening or acceptance into Hunterdon Hoosiers Inc., or a scholarship award. I understand that my child’s participation in this program requires my participation (or another family member) in the required volunteer credits prior to completion of the current season (e.g., tournament score clocks, tournament concessions, event setup, event clean up, general event hours, etc.). I also understand that failure to complete my volunteer credits will result in a full or partial payment due. My signature below certifies an understanding of these points.

Parent / Guardian Name of Signature Above(Required)

First Last