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FBFC Youth Camp Scholarship Program

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FBFC Youth Camp Scholarship Program

The Fred Bohannon Football Camp believes in providing a gospel-centered, high quality sports program for every child. This scholarship is for those families who are experiencing financial hardship and are unable to pay the full registration fee for their child or children. Our goal is not to deny any child participation regardless of any circumstance. Additionally, we see this as an opportunity to get parents involved.

The scholarship requires you to pay a base fee and complete volunteer hours. Volunteer hours cover the remaining cost for your child to participate. Each volunteer task that you complete covers $10 of the total cost. Volunteer tasks take approximately 1-2 hrs. to complete. The amount paid upon registration may exceed $10.

Volunteer Tasks

Help at practice (Wednesday & Thursday, 5:30pm-7:00pm
*Game day set up (Saturday, 8:00am-10:00am)
Game day tear down (Saturday, 12:00pm-1:30pm)
*Concessions AM (Saturday, 10:00am-12:30pm)
Concessions PM
*Gear Sales AM (Saturday, 10:00am-12:30pm)
Gear Sales PM (Saturday,12:30-3:00pm)
++Assistant Soccer Coach (Saturday, 10:00am-12:00pm)
*Assistant Flag Football Coach(Saturday 1:00-3:00pm)
Game Day Soccer Referee (Saturday, 10:00am-12:30pm)
*Game Day Flag Football Referee (Saturday,12:30-3:00pm)

All Games and Practices will be held at Pingree Park (8501 E. Canfield St. Detroit, M)I

*Participant Name:

Name:

*Gender:

MaleFemale

*Date of Birth:

*School:

*Grade

Participant’s Email Address:

*Returning Player

YesNo

*Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

*Phone Number:

*Parent/Guardian Name

Name:

*Address:

Street Address:
City: State/Province: Country: Zip/Postal Code:

*Phone Number:

*Email Address:

*WHY DO YOU WANT YOUR CHILD TO ATTEND THE FBFC SPRING OR SUMMER CAMP ? WHAT DO YOU EXPECT THEM TO GAIN FROM ATTENDING?

Consent to Exchange Information

CONSENT TO EXCHANGE INFORMATION: I understand that information may be needed to verify eligibility for this program and to coordinate services with other agencies; therefore, I agree that agencies may share my child’s information. I certify that the information supplied is true and correct and that FBFC staff have my permission to verify the information on this application. I understand that my child’s participation in this program requires a commitment to attend a minimum of 80% of the scheduled sessions, to participate in all fundraising activities,and to attend church on a weekly basis(Either at People’s or their own home church).
REQUEST FOR FEE WAIVER: My child is currently enrolled in a public assistance program such as Free or Reduced Lunch, ADC, Foster Care, or Medicaid. I request a fee waiver for the Youth Camp Scholarship Program and give my permission for the Department of Family Services to release information verifying my eligibility. I understand that I must submit proof that I am receiving services.
MICHIGAN FREEDOM OF INFORMATION ACT I understand that my child’s registration information is public record and, as such, may be released under the Michigan Freedom of Information Act unless I specifically request that this information not be released; therefore:

*I grant the FBFC permission to release my child’s registration information.

Electronic Signature Disclosure and Consent Statement

You consent and agree that your use of a key pad, mouse or other device to select an item, button, icon, checkbox, to enter text, or to perform a similar act/action, while using the FBFC website, for the purpose of consent, terms, disclosures or conditions, constitutes your signature, acceptance and agreement as if actually signed by you in writing. You further acknowledge and agree that the taking of any such actions by you evidence your intent to sign any such agreement, acknowledgment, consent, terms, disclosures or conditions. You also agree that no certification authority or other third party verification is necessary to the validity of your electronic signature; and that the lack of such certification or third party verification will not in any way affect the enforceability of your signature or any waiver. By signing this agreement, you acknowledge that I have read, understood, and accept the Electronic Signature
Disclosure and Consent statement above.

*Date:

*Parent/Guardian Electronic Signature

or cancel

FBFOOTBALLCAMP

FBFC Youth Camp Scholarship Program

FBFC Youth Camp Scholarship Program

Consent to Exchange Information

Electronic Signature Disclosure and Consent Statement

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