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Spring 2021 Baseball: Financial Assistance Application

  1. Instructions
    Complete one (1) form per child. Submit a separate form for any additional children. Please list your child's name as it is listed with Babe Ruth of Iredell County or Lake Area Youth Athletic Conference.
  2. Age Division*
    Select the age division that your child plays in with BRIC or LAYAC for Spring 2021.
  3. List amount paid at registration. Approved assistance would cover up to 50% of fees paid. Verification will be required.
  4. Annual Household Income*
    Gross Total Family Income, Select One
  5. Other Sources of Income/Assistance
    Income or assistance that you (or anyone in your household) are currently receiving from any of the following programs. Check all that apply.
  6. Please list any relevant comments pertaining to your income sources, employment status, or other financial-related circumstances.
  7. Acknowledgments*
    Funding is limited and approval is based on available funds and demand. Financial assistance will NOT cover 100% of the associated registration fees. Funds may cover up to a maximum 50% of fees paid. If approved, financial assistance will be provided as a reimbursement to the parent/guardian who paid the initial registration fees. Verification of registration will be required prior to disbursement. Incomplete or falsified applications may not be considered for financial assistance. ICPRD should be notified immediately of any changes to the information in your application. Failure to notify ICPRD of changes may disqualify the application and funds may be revoked if necessary.
  8. Leave This Blank:

  9. This field is not part of the form submission.