Financial Assistance/Grant Program

CYSA is always helping those in need, and our financial assistance program is there especially for the children who are not as fortunate as others. We want to make sure that everyone has an opportunity to enjoy the sport of soccer. Below, you will find a form to complete in it’s entirety and submit. All applications will be considered by the Executive board along with the VP of the program.

We strongly insist that even though you may have applied for the grant, we encourage you to still register.

CYSA Financial Assistance Application

Indicate Which Program You Are Applying For

Fall Recreational Travel CLP United

Parent/Guardian First and Last Name

Phone Number

Gross monthly family income (approximately).

How much of the cost can you afford to pay?

Could you do a monthly payment plan?

If Yes, please provide a dollar value.

Does the child receive any government assistance (ie welfare, free/reduced lunch)?

Yes No

If yes, please indicate assistance received.

Child Name (1)

Child DOB

Gender/Race

Child Name (2)

Child DOB

Gender/Race

Child Name (3)

Child DOB

Gender/Race

Signature

Additional Information