Woodcreek Lacrosse Club Scholarship Aid Program Application Purpose and Instructions

The Woodcreek Lacrosse Club offers scholarship aid for Registration to Woodcreek Lacrosse Players, which need not be repaid.

To request financial assistance to participate in our lacrosse program as a player, please fill out this application and submit it via email to or mail to Woodcreek LacrosseClub 5098 Foothills Blvd Ste 3 #363 Roseville, ca 95747

This scholarship application is for players participating in the regular Spring season of lacrosse and the player must be a registered participant with a current USLacrosse Membership. The applicant or the applicant’s legal guardians must forward the application to a legal representative of the organization by email or mail.

Woodcreek Lacrosse Scholarship Aid Program Application

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THIS SECTION MUST BE COMPLETED BY THE LEGAL GUARDIAN OR PARENT OF THE APPLICANT IF UNDER AGE 18

Date of Application ______Lacrosse Season: ______

1. Applicant/Player’s Name:______

2. Applicant’s Home Address: ______

3. Applicant’s contact phone #: ______

4. Applicant’s Email: ______

5. Applicant’s Birth date (mm/dd/yyyy):______Male ___ Female ___

6. Current School Attending: ______

7. Parent or Legal Guardian’s Name: ______

8. Parent or Legal Guardian’s contact phone #:______

9. Parents or Legal Guardian’s Home Email: ______

10. Parents or Legal Guardian’s Home Address: ______

Woodcreek Lacrosse Scholarship Aid Program Application

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13. Total registration cost of the program: $______

14. Amount of financial support being requested(full/partial): $______

15. Date by which the funds are needed:______

16. Have you applied for a loan or grant from any other source for this activity? ___Yes ___No

17. If yes, what is the name of the source and amount requested: ______

18. Please list or describe any financial circumstances that the Woodcreek Lacrosse Club should consider as a basis for granting this application:

______

19. List any organizations for which you volunteer ______

20. Would you be interested in being contacted for volunteer opportunities, activities or events? Yes _____ No ______

I understand that scholarships to players for program participation means only the registration costs will be waived by the organization upon confirmation of participation. All other costs associated with participating in the Woodcreek Lacrosse program will be my responsibility. This may include but not limited to; travel expenses,equipment, uniforms, USLacrosseMembership fees. In addition, if the scholarship is less than the full cost of the program, I am responsible for paying the difference.

Applicant/Parent or Legal Guardian (please print) ______

Applicant/Parent or Legal Guardian Signature/Date ______

Completed application should be emailed to:

Or mail to: Woodcreek Lacrosse 5098 Foothills Blvd Ste 3 #363 Roseville, Ca 95747

We will notify you of the board’s decision after the next monthly Board Meeting.

Board Decision: ______Amount: ______Date: ______

Board Member Approval: ______

Player/Parent notified: ______Date: ______