TYLA Financial Aid Application

(All applications must be received by January 15th for the Spring TYLA Season and August 15th for the Fall TYLA Season)

TYLA has a program to financially assist a family, who’s interested in having their child play lacrosse but, the family is unable to pay lacrosse player registration fees. A TYLA Financial Aid Request may be approved for only one TYLA season of lacrosse. A new TYLA Financial Aid Application will need to be submitted for each TYLA season of lacrosse.

Required Information: In order for TYLA to process your application, all Required Information and sections of this application must be fully completed. This application form must also be signed and dated.

Player's Information: (Please Print Clearly)

First Name of Player: Male - Female

(Circle One)

Last Name of Player:

Player's Grade in School:

Name of School the Player Attends:

Parent's Information: (Please Print Clearly)

Father's First Name:

Father's Last Name:

Father's Mailing Address:

Father's E-mail Address:

Father's Phone Number:

Father's Employer/Monthly Income:

Mother's First Name:

Mother's Last Name:

Mother's Mailing Address:

Mother's E-mail Address:

Mother's Phone Number:

Mother's E-mail Address:

Mother's Employer/Monthly Income:

Other sources of Monthly Income:

Reasons for Requesting TYLA Financial Assistance

Please state the reasons for your request for financial assistance. Be sure to include any special circumstances that may not be reflected in this application.

I certify that all information provided is in this TYLA Financial Aid Request Form is true and complete, to the best of my knowledge. I understand that providing false information will result in disqualification from the Financial Aid Program and participation in TYLA. I understand that the decision to grant TYLA Financial Aid is made at the sole discretion of TYLA, if funds are available.

Printed Name:

Signature:

Date:

Mail Completed Application to: TYLA P.O. Box 39657 Greensboro, NC 27438