NORTHLAND BASEBALL!

Northland Baseball Camp Scholarship Application

Parents Name: ______________________________________________________________________

Address: ___________________________________________________________________________

Phone Number: _____________________________________________________________________

Email: ____________________________________________________________________________
                 ^{You will be contacted by email regarding your scholarship application.  If you prefer a different form of communication, please let us know.}

Please list the child(ren) interested in participating in camp below. 

If a scholarship is granted, you will be given more information on how to register. We will contact you via email.  If you prefer a different form of communication, please let us know.

Submit this completed form with a statement explaining your current situation of financial hardship.

All information provided must be true and accurate. Providing false information may result in player/family ineligibility for the current and/or future sports participation. 

I certify that I have read and understand the information on this form, and that the information submitted is complete and
accurate to the best of my knowledge.

______________________________________________________________      __________________

                                    ^{Signature of Parent/Legal Guardian                                                                                                   Date}