LTYA Financial Aid Request Form

The Lake Travis Youth Association would like to provide every child in our area an opportunity to participate in our recreational sports programs. Please fill out the following information if you would like to request a scholarship. Only one scholarship per child, per season will be considered.

Player Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip *

Sport for which you are requesting financial aid: *

Gender *

Male

Female

Date of Birth *

Grade In School *

Playing age as at start of season *

Financial Aid Request

Current Annual Household Income *

Number of family members residing at home address. *

Please indicate the scholarship amount requested: *

Please provide documentation to support your Annual Household Income stated above. Examples include most recent 1040 income tax return, W-2 Forms, 1099 forms, DSS Form, SSI Form, Social Security, Unemployment Statements, and Child Support Orders.

This information is required in order to make any financial aid decision. You may upload copies of these documents here or mail them to the following address:

Lake Travis Youth Association
Attn: Scholarship Committee
2101 Lakeway Blvd., Ste. 115
Austin, TX 78734

Please supply information you would like the league to consider when evaluating this financial aid request. This information will be kept confidential. Intentional misrepresentation of your financial need will lead to permanent dismissal from the league with no refund of any amounts previously paid. *

Family Information

Family Email Address *

Alternate Email Address

Home Phone *

Father's Name

Mother's Name

Financial Aid Conditions

1) All remaining fees must be paid in full before your player can participate this season.

2) Please remember that LTYA is a volunteer run organization and all parents are expected to volunteer during the season to help the sports run smoothly.