Sno-King Amateur Hockey Association
Scholarship Application
PLAYER INFORMATION
Name: Date of Birth:
Address:
City State Zip:
Phone:
Division as of upcoming season:
Is your player a goalie?
Are you trying out for Select/Rep team?
Years playing for Sno King:
Previous Season Division Level (indicate level and whether Rec or Rep):
Previous Season Coach:
Is player a member of U.S.A. Hockey?
Has player registered with Sno-King Amateur Hockey Association for the upcoming season?
For families seeking financial aid for multiple players, please fill out one form for the first child. For any additional players, please attach separate forms with player information and answers tothe question at the end of this form.
PARENT INFORMATION
Parent 1 Name:
Parent 1 Address (if different from child):
City/State/Zip Phone/ Alt Phone: E-mail:
Parent 1 Address (if different from child and/or Parent 1):
City/State/Zip Phone/ Alt Phone: E-mail:
FAMILY FINANCIAL INFORMATION
Has this player received a Sno-King scholarship before?
Amount of scholarship requested for the upcoming or current season: $
Parent 1’s annual gross income last 12 months:
Parent 2’sannual gross income last 12 months:
If relevant, please attach an explanation of any changes in income that we should consider as we review your application. Federal tax forms are not required at this time, but we may request them during the review process.
QUESTION FOR THE PLAYER AND PARENT(S): Why do you want to play hockey with the Sno-King Jr. Thunderbirds?
If you receive a scholarship award and later decide to leave SKAHA for another association in the greater Seattle area, you must repay all scholarship funds before a release will be given. Please sign below to acknowledge you are aware of this condition.
By signing this form, I confirm that all the above information is correct.
Signature:
Please send your scholarship form(s) to Sno-King Amateur Hockey Association, 14326 124th Ave NE, Kirkland, WA 98034. If you have any questions, please contact us or 425-821-7133.