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Phillip D. Penland Tribute Fund
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The Phillip D. Penland Tribute Fund was established to cover the participation fees for kids in the community who might not be able to afford to participate in our youth sports programs. All requests must be submitted no later than two weeks prior to the start date of the program in which you are requesting financial assistance. Please allow for up to five business days for a response.
Date:
*
Date:
I Request:
*
Full Financial Assistance
Partial Financial Assistance (Enter amount you can pay in the explanation box below.)
Participating Activity:
*
Baseball
Softball
Basketball
Flag Football
Cheerleading
Age Division:
*
Has Applicant/Player participated in any of these programs in the past?
*
Yes
No
Applicant/Player First & Last Name:
*
Applicant Date of Birth:
*
Parent/Guardian First & Last Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Phone:
*
Email:
*
Financial Hardship Explanation:
*
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