Gloucester Ringette Association - Benevolent Application Form

'ON ICE' Funding Application

Please attach this application to your registration form.

Thanks to the generosity of Gloucester-Cumberland Devils families, GCRA has the ability to assist some players that would otherwise not be able to participate in ringette.

If money is awarded, it will be used only to reduce or eliminate the registration fee owing. Parents/Guardians are still responsible for paying tryout fees (at competitive level), team fees, travel costs and for ensuring their child has the required equipment.

Player Name: _________________________ Date of Birth: ____________ Level: ___________

Parent/Guardian: _____________________________________________________________

Phone: (home) ___________________________ Phone: (work) _________________________

E-mail: ________________________________________________________________________

If you are requesting only partial funding of the registration fee, please indicate amount requested:

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If you are requesting partial funding, please provide payment for the remaining of the registration fee (and tryout fee if applicable) with your registration.

Please explain why you believe the GCRA should provide funding for your child.
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Please explain how you volunteered with GCRA last season.
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Please explain how you will volunteer for this season.
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