Fall Season

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DRUID LAKES YOUTH LACROSSE ASSOCIATION (DLYLA)
Need Based Scholarship Application

DLYLA may grant registration fee scholarships to children who without this financial assistance would not be able to participate in our programs. Scholarships are available to cover full or partial cost of registration and/or equipment rental.

The board will consider all complete applications received by the established application deadline. The amount of the scholarship awarded (if any) may be a partial or full scholarship depending on the number applicants, and amount of scholarship funds available.

DLYLA is a non-profit organization with a very limited amount of funding available for scholarship athletes. No guarantee of assistance is implied in this application. If the number of applications submitted and approved exceeds the amount available; the scholarships shall be awarded by a lottery system.

To be eligible for a scholarship, a child must:

Qualify for or be currently receiving assistance from one or more of the programs listed below (Documentation required)	Meet each of the criteria listed below
Free or Reduced School Lunch	Be enrolled in school (kindergarten through 8^th grade)
Temporary Assistance for Needy Families	Commit to attend a minimum of 80% of scheduled practices and games
Aid for Dependent Children	Not be currently served by an existing scholarship or fee waiver program
Foster Care
Medicaid

To Apply

Complete the application and ensure that the application has been signed by a parent.
Submit application by established deadline.
Attach official documents signifying the child is receiving aid. If such documents are not available, a school employee,
social worker, or case worker must sign the form to verify eligibility.
Eligible applicants will be confirmed and awarded scholarships
If you have any questions, please contact DLYLA at [email protected]

Note: A separate application is required for league registration

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DRUID LAKES YOUTH LACROSSE ASSOCIATION
NEED BASED SCHOLARSHIP APPLICATION

Athlete Name:_____________________________________________________________________

Parent/Guardian Name: _______________________________________________________________

Address: ____________________________________________________________________________

City: __________________________________________________ Zip Code:___________________

Telephone: ___________________(home) _______________(cell)

Email Address:_______________________________________________________________________

Date of Birth: _______________ Grade: _________ School:___________________________________

Parent/Guardian Signature: ______________________________________________Date:___________

Assistance requested:

Registration fee 󲐀

Equipment Rental 󲐀

Fill out this form and email to DLYLA at mailing address below with the following attachments:

󲐀 Documentation showing receipt of assistance such as food Stamps, Medicaid, SSI, Foster Care,
WIC, etc. or documentation demonstrating an immediate financial hardship

󲐀 Written recommendation by school representatives, social workers, youth community center
workers, or other social services representatives

Send to: DLYLA, 2856 Country Squire Lane, Decatur, GA 30033

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For DLYLA Use Only

Approved ____ Disapproved ____ Amount, if any, Awarded $ ___________

Remarks:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________