The Foundation promotes higher education and encourages the physical well-being and teamwork of

young people involved in sports by distributing scholarships and grants.

April 4, 2014


Subject: Emergency Heitz 61 Financial Assistance


Arctic Foxes and RMU Island Colonials Youth House League Families:

Beginning in April 2014 the Heitz 61 Memorial Foundation will offer emergency Heitz 61 Financial Assistance to registered Arctic Foxes and RMU Island Colonials Youth House League hockey players. This financial assistance is offered to those families who, in the event of an emergency, were unable to pay hockey fees or purchase hockey equipment. Families are considered for assistance by completing an application, which includes a referral from an Arctic Foxes board member or RMU Island Colonials representative, and a short summary discussing the player’s contribution to hockey and the basis for financial need.

The Heitz 61 Memorial Foundation was created in memory of Ryan V. Heitzenrater who passed away in February 2013. Ryan was a dedicated hockey player and played for the Arctic Foxes for eight years. Our Foundation’s mission is to keep Ryan’s memory alive by promoting higher education and encourage the physical well-being and teamwork of young people involved in sports by distributing scholarships and grants. Visit our website at www.Heitz61Foundation.org to learn more about us.

We pray our hockey families find this assistance of value and encourage those in need to consider in the event of an emergency. We are here for you, just as our hockey families were there for us.

Sincerely,
Debbie & Doug Heitzenrater
Heitz 61 Memorial Foundation



The Foundation promotes higher education and encourages the physical well-being and teamwork of

young people involved in sports by distributing scholarships and grants.

www.Heitz61Foundation.org

Arctic Foxes / RMU Island Colonials Youth House League
Heitz 61 Assistance Application Instructions

Purpose

To provide need based financial assistance to hockey players in the Arctic Foxes Hockey Association and RMU Island Colonials Youth House League.

Eligibility

Any player currently registered with Arctic Foxes Hockey Association or RMU Island Colonials Youth House League.

Awarding of Funds

The awarded funds will be credited to the player’s account. The Heitz 61 Review Committee will determine the amount awarded on an individual basis.

Qualifications

The Heitz 61 Memorial Foundation Review Committee will consider the following criteria when reviewing applications:

·  Financial Need

·  Community Service

·  Demonstrates good sportsmanship and has a positive contribution to the team

Requirements

·  Referral from an Arctic Foxes board member or RMU Island Colonials representative

·  Completed application

·  Short summary discussing the player’s positive contribution in hockey, academics, and the community. The summary should also address the basis for financial need.

·  All applications should be completed and mailed to the following address:

The Heitz 61 Memorial Foundation
Attn: Heitz 61 Assistance Application
P.O. Box 54045

Pittsburgh, PA 15244

·  In addition to mailing your application and supporting documentation, you can also scan the completed application (excluding the supporting documentation) and e-mail to . This will assure that all applications and supporting documentation are received. The subject line of the e-mail should state Heitz 61 Assistance Application.

Your information is kept confidential and is only reviewed by The Heitz 61 Memorial Foundation Review Committee. Please allow 4 weeks for a response.


Arctic Foxes / RMU Island Colonials Youth House League
Heitz 61 Assistance Application

Help Requested For:

Fees $______Equipment $______

PLAYER Information
Player’s Name:
Team For the 2014 - 2015 Season:
Number of Years Playing for the Arctic Foxes / RMU Island Colonials:
Number of Years Playing with other Hockey Organizations (note name of organization yrs):
PARENT Information
Parents Names:
Home Address:
Cell Phone: / Other Phone: / E-mail:
referral from Board MEmber / REPRESENTATIVE
Name:
Title:
Phone Number:
E-Mail Address:
Signature / Date:
authorization
I authorize The Heitz 61 Memorial Foundation to verify the information provided on this application and the supporting documentation. I hereby state that I have read and signed this application after its completion, and I swear or affirm that the statements made herein are true and correct, and that all the information provided with this application is true and correct to the best of my knowledge.
Signature of Parent: / Date:
Signature of Parent: / Date: