Oldham Soccer Club, Inc. Financial Hardship Application Player__________________________________________ Team/age group _________ Parent/Guardian__________________________________ Date of request:_________ Address________________________________________________________________ Phone ___________ Cell Phone _____________Email __________________________ SS # of player___________________(Required for us to maintain nonprofit status with IRS) Please explain the reasons for a requesting financial discount. Provide us with all the information you deem appropriate to help us evaluate your specific request. ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ Please provide the level of hardship you need: ___ Adjustment payment schedule from Deposit, Aug 1st, Oct 1st and Feb 1st ___ Payment split up across a 12 month time frame (annual fees/12) ___ I can pay this amount $__________ per season. ___ I cannot pay the fees at all for the year & I am willing to volunteer where the club needs me upon my approval. ___ I cannot pay the fees for the year and I cannot volunteer any time Please understand that Thoroughbreds cannot absorb fees for items other than your child’s basic fee. We cannot pay for uniforms, extra tournament costs or optional camp programs (ex: Elite Camp) sponsored by Thoroughbreds. There is also a limit to the amount of hardship dollars available per season so evaluation is on a first come, first evaluated service. Payment options are also only available for fees and not events, camps, etc. NOTE that despite the outcome of this request, you will be responsible for the costs of tournament participation, camp or clinic participation, uniform costs, etc. Our Board of Directors will review your request. Considerations for the level of discount or payment plan will be based on financial need, funds available and previous history with the Club. All requests will be handled confidentially. If you have any questions, please email Joe Wisdom at [email protected]. Return the completed application by email to the same address. Unique payment arrangements will be negotiated with the club treasurer and they will contact you upon request and approval to do so. All further communication from there must be handled between you two at that time. If approved, the Board requests that parents ensure player(s) attend all team functions for which the financial assistance is provided. Also, it is expected that parents will volunteer their time to help the club at Derby Cup or other club activities. Our response to your request will be forwarded to you to the email you indicated above. I understand and agree to the above guidelines and further recognize that if I do not adhere to this agreement, I may be subject to financial penalty or my player’s suspension from play with their team until full payment has been made. Parent/Guardian Signature:__________________________________ Date:___________
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