Apply Here | Adam Whitt Foundation

ATHLETE TERMS & CONDITIONS
UNDER 18 YEARS OF AGE COMPLETE THIS FORM

1. By signing this form I certify that the information contained in this packet is true and correct to the best of my knowledge.

2. By signing this form I agree to be bound by the responsibilities and expectations set forth in this application if I receive a contribution.

3. By signing this form, I commit to attend a minimum of 90% of all scheduled practices and games for recreational sports and 95% of all scheduled practices and games for competitive sports.

4. By signing this form, I am demonstrating a need for assistance as noted on application. I have no other resources to obtain the needed items.

5. I understand that no guarantee of assistance is implied by this application and contributions are awarded if funds are available

and if I am eligible.

6. I understand that I may not be provided cash as a contribution.

7. I agree to submit a post-season survey on the Foundation website within 7 days of the season ending.

I agree OR

I do NOT agree to share commentary & images with the Foundation to be shared on social media.

9. I agree to display proper sportsmanship while practicing, playing, discussing and representing sports and the Adam Whitt Foundation in any way.

Printed Name of Athlete

Date

Signature of Athlete

See parent terms & conditions on the next page...

ATHLETE AND PARENT/GUARDIAN INFORMATION

Athlete's Name:

Age:

Grade:

Street Address:

City:

State:

Zip Code:

Phone Number:

Email:

Sport Playing:

Position/s:

How long have you been playing this sport?

What are your goals for this year as it pertains to sports?

What are your long term goals for this sport (1-5 years)?

Name of the Team/Organization you wish to/are participating in:

Contact for the Team/Organization that may verify your participation: Name & Phone/Email

What are you seeking in assistance? i.e., list all expenses requested and the amount for each (registration fee, equipment, transportation costs, etc.). Requests should be just for what you need assistance with.

List your total amount of request & attach proof of costs (Registration Form, Flyer, Website, Equipment Price, etc.).

Choose File (PNG, JPG, or JPEG)

Choose File (PDF)

Date contribution is needed (i.e., date registration fee is due):

What other sports do you participate in?

Have you received a contribution from AWF or any other organization before? If so, list the year and amount received:

What other avenues have you tried to obtain assistance?

Tell us why you need this assistance:

Are you willing to submit a post-season survey? This is a requirement of receipt.

Yes

Are you willing to submit comments and images of you playing the sport to be used on the Foundation's social media? (This is NOT a requirement).

Yes

ATHLETE TERMS & CONDITIONS UNDER 18 YEARS OF AGE COMPLETE THIS FORM

ATHLETE AND PARENT/GUARDIAN INFORMATION

ATHLETE TERMS & CONDITIONS
UNDER 18 YEARS OF AGE COMPLETE THIS FORM