LEVEL THE FIELD SPORTS
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APPLication
If you would like to apply for a scholarship for your child, please submit an online application HERE
PLEASE email: info@levelthefieldsports.org IF YOU HAVE ANY QUESTIONS
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Indicates required field
Parent's Name
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First
Last
Parent's Phone Number
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Child's Name
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First
Last
Child's Grade
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Child's Birthdate
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Phone Number
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Email
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Parent's Address
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Line 1
Line 2
City
State
Zip Code
Country
Photo Release
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Agree to Photo Release
Decline Photo Release
Level the Field Sports depends on generous donors to support our organization so that we can support your child's ability to play in youth competitive sports. Please allow us to post your child's photo in appreciation to our donors and to raise awareness about our mission. Level the Field Sports (“LTFS”) may wish to use the photographs or videos in publications including print and web materials. I hereby approve of use of the/my child’s photo/videos for LTFS’s promotional purposes such as print, website, newsletters and social media. I agree to hold harmless LTFS representatives and assigns, from any liability by virtue of minor cropping that may be required, and minor editing that may occur in reproducing photographs or videos. I certify that I have the authority to agree to this photo release on behalf of the child referenced in this application.
Child's School
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Child's Gender
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Male
Female
Gender Neutral
Child's Ethnicity
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Asian
Black
Hispanic
White
Two or More Races
Native American / Alaskan
Pacific Islander
Other
Total Family Income: $
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Yearly or Monthly Income
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Yearly Income
Monthly Income
# of People in Household
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Does your child qualify for free or reduced lunch?
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Free Lunch
Reduced Lunch
Income Verification
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Max file size: 20MB
Please attach a copy of any of the following income verification documents: * Reduced or Free Lunch Letter * 1040 Income Tax Form (most recent) * Proof of SSA or SSA-1099 * Current TANF/Welfare * Full-time student verification * Proof of Disability Pay (SSI) * Unemployment Statement * Proof of Retirement
Name of Sport Program for Your Child
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Please let us know if you need help locating a sport program for your child.
Has your child played with this program before?
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Yes
No
Please specify what financial assistance the sport program offers.
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We require all applicants to apply for any applicable financial assistance available with the relevant sports program prior to submitting an application with Level the Field Sports.
Financial Assistance Offered by Sports Program
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Max file size: 20MB
Please attach documentation verifying the financial assistance being offered / granted to you by the sports program you are applying for.
Have you applied for financial assistance directly with the sports program?
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Yes
No
Not Applicable
We require all applicants to apply for any applicable financial assistance available with the relevant sports program prior to submitting an application with Level the Field Sports.
Cost of Program/Requested Scholarship Amount
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Total cost of program after deducting any applicable financial aid or scholarship provided directly by sports program or other third-party.
Contact for Sports Program
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First
Last
Please list who we should contact for payment of your child's registration fees / team dues.
Phone Number
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Address to Mail Payment
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Line 1
Line 2
City
State
Zip Code
Country
Level the Field Sports will mail your child's registration fees / team dues directly to the sports program you are applying for.
What equipment or gear does your child currently have?
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Please list what equipment your child needs.
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Child's Shoe Size
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Child's Shirt Size
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Child's Pant Size
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Authorization to Release Information
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Authorization Granted
Authorization Denied
We will need to contact the relevant sports program receiving payment from Level the Field Sports in order to confirm receipt of payment, participation by your child(ren) or to process any refunds should your child(ren) not proceed with the sports program. Please confirm: (1) your authorization for us to contact the sport program and for us to share information in your child's application with Level the Field Sports with the sport program; and (2) authorization for the sport program receiving payment from Level the Field Sports to release information regarding your child's participation in the program and payment information about your child to Level the Field Sports. By granting this authorization, you agree to the release and sharing of information provided herein.
Comments
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Submit
CALL (206) 659-8803
EMAIL info@levelthefieldsports.org
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APPLY
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