Montana Rush Soccer Club Fee Assistance

Application for Rush Soccer Club Fee Assistance Programs

Spring/Fall Application for Fee Assistance

Question Title

* 1. What is the player's full name, date of birth and gender?

First and Last Name

Date of Birth

Gender

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* 2. What is Parent or Guardians full name

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* 3. What is your physical address

Street of PO Box

City, State, Zipcode

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* 4. Indicate Phone Numbers and email you prefer

Phone #1

Phone #2

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* 5. 5. Please choose the total annual income range for your family

Under $30,000.00

$30,001.00 to $40,000.00

$41,000.00 to $50,000.00

$51,000.00 to $60,000.00

$61,000.00 to $70,000

More than $70,000.00

Other (please specify)

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* 6. How many children age 17 or younger live in your household?

None

4 or more

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* 7. Additional questions about the player's family

Number of Children in College

Number of players playing Rush Soccer

Is this a single parent family ( non spousal support)

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* 8. In addition to providing proof of eligibility for Free and Reduced Lunch Program (must submit by mail to MT Rush), please provide a detailed statement of why financial assistance is needed.
Montana Rush Soccer
PO Box 1648
Great Falls, MT 59401

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* 9. This child is applying for the available fee assistance for:

Fall Competitive Season Recipient must pay the $50 registration fee, and donate 10 additional volunteer hours. Recipient must send in proof of free or reduced lunch to Montan aRush Soccer PO Box 1648 Great Falls, MT 59403

Fall Recreational League ($40award) recipient must pay the $ 40 registration fee, and donate 5 documented volunteer hours, volunteer time is to be mailed to Montana Rush Soccer PO Box 1648 Great Falls, MT 59403

Spring Recreational League ($40award) Recipient must pay the $40 registration fee and donate 5 documented volunteer hours, volunteer hours are to be mailed to Montana Rush Soccer: PO Box 1648 Great Falls, MT 59403. Recipient must complete all portions of the application for fee assistance including sending proof of free and reduced lunch.

Spring Competitive Season. Recipient must pay the $50 registration fee and donate 10 additional volunteer hours. Volunteer hours must be mailed to Montana Rush Soccer PO Box 1648 Great Falls, MT 59403. Proof of free or reduced lunch must be mailed to the above address.

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* 10. Please provide any additional information which would be helpful in determining eligibility for fee assistance.

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50% of survey complete.

Montana Rush Soccer Club Fee Assistance

Application for Rush Soccer Club Fee Assistance Programs

Question Title

* 1. What is the player's full name, date of birth and gender?

Question Title

* 2. What is Parent or Guardians full name

Question Title

* 3. What is your physical address

Question Title

* 4. Indicate Phone Numbers and email you prefer

Question Title

* 5. 5. Please choose the total annual income range for your family

Question Title

* 6. How many children age 17 or younger live in your household?

Question Title

* 7. Additional questions about the player's family

Question Title

* 8. In addition to providing proof of eligibility for Free and Reduced Lunch Program (must submit by mail to MT Rush), please provide a detailed statement of why financial assistance is needed.Montana Rush SoccerPO Box 1648Great Falls, MT 59401

Question Title

* 9. This child is applying for the available fee assistance for:

Question Title

* 10. Please provide any additional information which would be helpful in determining eligibility for fee assistance.

* 8. In addition to providing proof of eligibility for Free and Reduced Lunch Program (must submit by mail to MT Rush), please provide a detailed statement of why financial assistance is needed.
Montana Rush Soccer
PO Box 1648
Great Falls, MT 59401