Rockwall Girls Lacrosse Scholarship Application
Terms and Conditions “I”, “me” and “my” refer to the adult scholarship applicant.
Please initial each statement and email completed form as noted below.
_____ 1. By signing this form I certify that the information contained in this scholarship application is true and correct to the best of my knowledge.
_____2. By signing this form I agree to be bound by the responsibilities and expectations for my athlete to be a dedicated member of her team by participating in practices and games should I receive a scholarship.
_____3. I understand that members of the Rockwall Girls Lacrosse Board of Directors consider each scholarship application on a case-by-case basis.
_____4. I understand that no guarantee of assistance is implied by this application and scholarships are awarded if funds are available.
_____5. I understand that unless I am awarded basic equipment as part of my scholarship, I am responsible for any borrowed equipment and/or uniforms to be returned promptly at the conclusion of the season.
_____6. I understand that scholarship money will not be paid to the individual recipient, nor will any money be refunded to the individual recipient.
_____7. This application is considered private and will not be shared with anyone other than the Board of Directors.
____________________________________________________________ Printed Name of Adult Applicant
___________________________________________Signature of Adult Applicant _____________ Date
Athlete’s Name: _________________________ Age: ___________ Birth date: ___________________
Address (Street, City, Zip): ___________________________________________________________________
_________________________________________________________________________________________
School Athlete Attends: ___________________ Grade: _______
Amount of scholarship requested: Full / Partial (Circle One)
Has this athlete ever received scholarships before? Yes / No (Circle One)
Scholarship Request Background:
Email Completed form to the President
Currently: Stacey Kimmel @ [email protected]