Greater Boca Youth Soccer Association, Inc.

Boca United FC, Advanced Training Program

www.gbysa.org

Application for Financial Aid
 * * * Please submit 1 application for each child * * *
 

Player’s Name

Mother’s or Guardian’s Name

Father’s or Guardian’s Name 

Home Address   

Street City Zip    

Home Phone No. 2nd Phone No.

E-mail address

Family Size

No. of Children in GBYSA Programs

Please Explain Your Need for Financial Aid or any other relevant circumstances.

  

The GBYSA Board of Directors reserves the right to request income verification before completing its review and
taking action on any financial aid request. Information obtained from this application and/or the income verification
process shall remain confidential and will be reviewed only by the GBYSA Financial Aid Sub-Committee.
INCLUDE IN THIS PACKAGE YOUR 2009 1040 FORM (FIRST PAGE ONLY!)

Financial Aid Requested

Cost of GBYSA/Boca United Program $1200.00

Non-refundable deposit  $300.00   (Due at Registration)
Balance of Fee    $900.00

Amount You Can Pay $

Amount of Aid Requested $

How will payments be structured?:

Are you willing to volunteer your time for GBYSA/Boca United activities and events?

YES NO   Times Available

We (I) certify that to the best of my knowledge the above information is true and accurate.

Parent or Guardian Signature   Date
Parent or Guardian Signature   Date


"GBYSA/Boca United FC makes every attempt to offer financial aid to all that apply.  But, due to
funding constraints, we may not be able to provide the scholarship amount that you have requested."

PLEASE MAIL COMPLETE PACKAGE WITH 2009 1040 FORM (FIRST PAGE ONLY) TO:

GBYSA FINANCIAL AID * 9749 COURT OF ORANGES * BOCA RATON * FL * 33434