Athlete Information *

First Name

Last Name

Gender

Female

Male

Prefer not to answer

Birth Date: *

MM

DD

YYYY

Coach's Name *

First Name

Last Name

Coach's Mobile Number: *

(###)

###

####

Your parents are:

Married

Divorced

Never married

Parent 1 or Legal Guardian: *

First Name

Last Name

Parent 1 or Legal Guardian Birth Date: *

MM

DD

YYYY

Parent 1 or Legal Guardian Mobile Number: *

(###)

###

####

Parent 1 or Legal Guardian Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 2 or Legal Guardian: *

First Name

Last Name

Parent 2 or Legal Guardian Birth Date:

MM

DD

YYYY

Parent 2 or Legal Guardian Mobile Number: *

(###)

###

####

Household Income: *

Under $30,000

$30,000 - $50,000

$50,000 - $75,000

$75,000 - $100,000

Over $100,000

Are you currently receiving any form of financial assistance? *

(check all that apply)

Free or reduced lunch

SNAP (food stamps)

Medicaid

No

Graduation date (estimate): *

MM

DD

YYYY

By submitting this application to the Dreamers Sports Foundation Scholarship Program, I hereby: *

Consent to Information Review and Verification: I authorize the Dreamers Sports Foundation's staff and board members to review all information provided in this application. I also grant permission for them to contact any individuals or organizations listed herein to verify the details I have submitted. Acknowledgment of Selection Process: I understand that my application will be entered into a selection process conducted by the Dreamers Sports Foundation. I recognize that this process is designed to be fair and impartial, and submission of this application does not guarantee that I will receive a scholarship. Understanding of Scholarship Awards: I acknowledge that the Dreamers Sports Foundation may award partial scholarships, regardless of the specific team dues or the amount I have requested. I understand that I have the option to accept or decline any scholarship amount offered to me. By selecting "Yes" below, I affirm that I have read, understood, and agree to the terms outlined above.

Yes, I agree / Understand

No, I do not agree / understand