Scholarship Request Application

If you need financial assistance in order to participate in one of our programs – Please fill out the form below.

Please note that scholarship opportunities vary from program to program based on availability, cost, and length of activity.

Gatorball is an equal opportunity organization. It forbids discrimination on the basis of race, religion, sex, nationality, age, or health needs. Gatorball’s scholarship committee will keep all information provided confidential.

Program of Interest*
Date*
MM
DD
YYYY
Player Name*
First Last
Date of Birth*
MM
DD
YYYY
Age*
Primary Contact Information
Primary Contact Name*
First Last
Primary Contact Email*
Primary Contact Home Phone*
Primary Contact Cell Phone*
Relationship to Player*
Secondary Contact Information (Where Applicable)
Secondary Contact Name
First Last
Secondary Contact Email
Secondary Contact Phone
Relationship to Player
Are you receiving free of reduced meals for your child at school?*
- Yes, my child is receiving this benefit.
- No, we don't have this benefit.
Please write what you can afford to pay for this program. (Amount can be paid in installments.)*
Information
Please note that scholarship opportunities vary from program to program based on availability, cost, and length of activity. Upon completion of this scholarship form, we will contact you directly for more information. Gatorball is an equal opportunity organization. It forbids discrimination on the basis of race, religion, sex, nationality, age, or health needs. Gatorball’s scholarship committee will keep all information provided above confidential.
Affirmation Statement
I hereby affirm that all information listed above is accurate to the best of my knowledge.
Signature*
Today's Date*
Date Format: MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Scholarship Request Application

Primary Contact Information

Secondary Contact Information (Where Applicable)

Information

Affirmation Statement