Scholarship Request

Tribe Lacrosse Scholarship

This form is to be filled out in full by the parent or guardian of the child requesting financial assistance. Each application will be held in the highest of confidence.  Tribe Lacrosse may contact you to request additional information or clarification. 

Failure to provide a response to all the questions on the application may result in the application being rejected.

Child Name
Age
Gender
select
Division
select
What team is child registered with?
Parent Name
Parent Phone
Parent Email
20
Street Address
City, State, Zip
School Child Attends
Grade
Is Parent Employed?
select
Reason for request
Amount payable now?
Amount payable later
Verification

Required Fields