LPHA Scholarship Application Name: ___________________________________________________ Phone: ___________________________________________________

Level:

MM

M

SQ

PW

12U Girls

Bantam

HS

Registration Fee(s) for level: ______________________________________

Equipment Rental fee: __________________________________ Scholarship amount requested: ____________________________________ Reason(s) you’re requesting a scholarship: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

If you are granted a scholarship, you will be asked to fulfill extra volunteer hours. By accepting this scholarship, you understand that your family will have to work extra hours as a volunteer. The quantity of hours will be determined after granting the scholarship. Signature: _______________________________________ Date: _____________ --------------------------------------------------------------------------------------------------------------------------Scholarship amount: _________________________________ President _______________________________________ Date: _____________

Solicitud para una Beca de LPHA Nombre: ___________________________________________________ Teléfono: ___________________________________________________

Nivel:

MM

M

SQ

PW

12U Girls

Bantam

HS

Cuota para nivel(es): ______________________________________

Cuota para rentar artículos deportivos: __________________________________ Cantidad de Beca que Ud. pide: ____________________________________ Razón por la cual Ud. pide una beca: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________

Si se da la beca, Ud. va a tener que cumplir con horas extras de voluntariado. Con el aceptar esta beca, Ud. entiende que su familia tendrá que trabajar esas horas extras como voluntario. La cantidad de horas se va a determinar después de darle la beca. Firma: _______________________________________

Fecha: _____________

--------------------------------------------------------------------------------------------------------------------------Cantidad de la beca: _________________________________ Presidente _______________________________________ Fecha_____________