PaloVerde Little League Scholarship Program

My child __________________________________________ would like to play baseball on a Palo Verde Little League team; however, I am not able to pay the full registration fees at this time. He/she is league age _________.

My circumstances are: _______________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

I would like to be considered for one of the following (Please circle number and fill out):

1. I can pay the fee if I can make payments as follows: _____________________________________
2. At this time I am only able to pay $___________ and would like the remaining balance to be paid by the scholarship fund.
3. I can volunteer to help with league activities.
4. Unfortunately, my circumstances do not allow me time to volunteer.
Please consider granting us a scholarship.

___________________________________ ___________________________________ (Parent/Guardian Signature) (Please print your name)

______________________________________________________ _____________________ (Street Address) (City) (State) (Zip) (Telephone Number)

Please return to:
Palo Verde Little League
Scholarship Committee
P.O Box 12434
Tucson, Az 85370