Apply Here | Adam Whitt Foundation

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)

(PNG, JPG, or JPEG)

Choose File (PDF)

(PNG, JPG, or JPEG)

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