Page 1 of 1

Financial Assistance Request

Financial Assistance Request


Your First Name

Your Last Name


Your Email

Your Phone Number


Address


Athlete First Name

Athlete Last Name


Athlete Grade (Fall 2023)

Athlete Birthdate

Select which program the athlete is requesting

What type of assistance are you requesting

Please provide a narrative of not more that 500 words explaining the situation and why sponsorship is requested including type of assistance desired. Please include all information your feel would be helpful to the committee in making their decision.

Commitment Signature*

By typing your name below, should your situation change, you agree to participate in the program in the normal fashion so that CJT can support another less fortunate family.