Financial Assistance Application | Waynesville Gymnasti

Parent/Guardian First Name

Parent/Guardian Last Name

Email

Phone

Gymnast Information

Gymnast's First Name

Gymnast's Last Name

Gymnast's Birthday

Month

Day

Year

Years at Waynesville Gymnastics

Current Program/Team

Coach's Name

Assistance Request

Amount of Assistance Requested

Total Cost of Expense

Amount Your Family Can Contribute Toward This Expense

Please describe the expense and what the assistance will be used for.

When is payment due?

Month

Day

Year

Household Information

Number of People in Household

Gross Annual Household Income

Has this gymnast received financial assistance from the Booster Club during the current season?

No

Yes

If yes, please enter the amount of assistance previously received

Financial Need

Please briefly explain your family's financial need and how this assistance would benefit your gymnast.

Is there anything else you would like the Booster Club to consider when reviewing your request?

Supporting Documentation

Please upload the requested documentation below. Applications cannot be reviewed until all required information has been received. All information submitted will be kept confidential and used only to evaluate financial-assistance eligibility.

Proof of Household Income

Recent paystub, W-2, or other income documentation.

Documentation of Requested Expense

Fee notice, invoice, registration page, or estimated cost, if available.

Certification & Acknowledgment

I certify that the information provided in this application is complete and accurate to the best of my knowledge. I authorize the Waynesville Gymnastics Booster Club to verify the submitted expense. I understand that submitting an application does not guarantee financial assistance, that awards may be full or partial and are subject to demonstrated need and available funds, and that, when practical, awarded funds may be paid directly to Waynesville Gymnastics, the event organizer, or the vendor.

Parent/Guardian Signature

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