FLIP 2 IT SPORTS CENTER – TUITION ASSISTANCE APPLICATION

Limited short-term and long-term financial assistance is available for students at Flip 2 It Sports Center. To apply, please complete the form below. Our team will review your request and follow up with you.

Please note: Financial assistance is limited and not guaranteed. We do our best to support as many families as possible within our community.

All personal information will be kept confidential and secure. These funds are made possible through fundraising efforts, so we kindly ask that only families with genuine financial need apply.

Guardian First Name:

Guardian Last Name:

Email

Phone

Child (1) First & Last Name:

Child (1) Age:

Child (1) Class/Program:

Please write the class/program type they are or want to attend, Day, and Time

What are your child’s current goals or hopes for participating in our program?

Are there any specific supports or accommodations that help your child succeed?

Child (2) First & Last Name:

Child (2) Age:

Child (2) Class/Program:

Please write the class/program type they are or want to attend, Day, and Time

What are your child’s current goals or hopes for participating in our program?

Are there any specific supports or accommodations that help your child succeed?

Child (3) First & Last Name:

Child (3) Age:

Child (3) Class/Program:

Please write the class/program type they are or want to attend, Day, and Time

What are your child’s current goals or hopes for participating in our program?

Are there any specific supports or accommodations that help your child succeed?

Child (4) First & Last Name:

Child (4) Age:

Child (4) Class/Program:

Please write the class/program type they are or want to attend, Day, and Time

What are your child’s current goals or hopes for participating in our program?

Are there any specific supports or accommodations that help your child succeed?

APPLICATION TYPE & FINANCIAL NEED:

Please select the option that best fits your current need:

I am applying for one month of 50% tuition

I am applying for two months of 50% tuition

I am applying for three months of 50% tuition

I am applying for ongoing financial assistance

Is your family currently receiving any form of financial assistance?

Yes

No

If Yes please explain:

If applying for ongoing support, please indicate the maximum amount you are able to pay per month:

Please share any circumstances that have impacted your ability to pay full tuition (check all that apply):

COMMITMENT, PARTICIPATION & IMPACT

If awarded tuition assistance, do you anticipate your child attending regularly?

Yes

No

Other

Are you able to commit to a full session (each session is 4 weeks) if assistance is granted?

Yes

No

How would receiving tuition assistance benefit your child(ren)?

What would it mean to your family to be able to participate in this program?

Without assistance, would your child(ren) still be able to participate?

Yes

No

Unsure

ADDITIONAL INFORMATION

Are there any additional challenges or circumstances you would like us to be aware of?

Is there anything else you would like to share about your family or your child(ren)?

AGREEMENT & ACKNOWLEDGMENT

I certify that the information provided is accurate to the best of my knowledge.

I understand that tuition assistance is limited and not guaranteed.

Signature

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Date and time

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Time

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