Financial Aid Request

This is a request form; not an agreement. Your completed form will be reviewed by the FC Batavia Board of Directors. The club has limited funds to help; therefore, financial aid is not guaranteed. All sections must be filled out completely. Incomplete forms will not be considered.
Contact Information
Player Name*
Parent/Guardian Name*
Team Name*
Address*
City*
State*
Zip*
Email Address*
Contact Phone*

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Request Details
Number of children in your family*
Number of children playing at FC Batavia*
Did you receive financial aid last year?*
Did you pay all fees owed?*
(If you received financial aid from FC Batavia last season and did not pay fees in full then you are required to pay that debt before the season starts.)
Please estimate what your family will be able to contribute to club fees*
Please explain the basis for your request*
Provide the reason(s) you are requesting financial aid from FC Batavia. Please provide information relating to income or any other special circumstances. If this section is not filled out your request will not be considered.
Please upload most recent tax return*
Drop files here or

Max. file size: 300 MB.
If you do not have a tax return you must include of letter from your employer showing monthly income.
Please upload your two (2) most recent pay stubs.*
Drop files here or

Max. file size: 300 MB.

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Acknowledgement
This confidential Financial Aid Request Form will be reviewed by the club’s finance committee. You may receive requests for additional information. Your prompt response to these requests will assist the committee in a prompt evaluation. The funds provided for financial aid are limited and only cover part of the club fees. Please Note: Team fees for such things as tournaments are not covered by financial aid. Any family receiving aid will be required to volunteer time to assist the club with various functions. Amount of time required will be contingent on the amount of aid received.
I hereby certify that the information on this request form is true and correct.
Printed Name*
Date*
MM slash DD slash YYYY
Signature*
Comments
This field is for validation purposes and should be left unchanged.

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Contact Information