Application

Play More USA

Name

This field is for validation purposes and should be left unchanged.

Parent/Guardian Information

Full Name:(Required)

First Last

Address:

Street Address Address Line 2 City ZIP Code

Phone Number:

Email:(Required)

Student Information

Full Name:(Required)

First Last

Date of Birth:

Current School:

Grade:

Sport(s) of Interest:

Household Information

Number of Children in Household:

Annual Household Income (optional – used for need-based review):

Is your child currently receiving free/reduced lunch at school?

Parent/Guardian Statement

Please briefly describe why you are applying for a scholarship and how participation in Play More USA programs will benefit your child:(Required)

Student Statement (optional, for ages 10+)

In your own words, why do you want to participate in Play More USA programs?

Required Documents (attach if available)

Proof of income (pay stub, tax return, or school lunch letter)

Max. file size: 256 MB.

Copy of student’s recent report card or school enrollment verification

Max. file size: 256 MB.

Agreement & Signature

I certify that all information provided is true and accurate. I understand that Play More USA may contact me for additional information during the scholarship review process.

Signature

Date