PAC 2024 Financial Aid Form
The PAC provides partial and full scholarships for the spring season.  Please ensure the accuracy of your information and double-check all details before submission.  Our funding allocation depends on donations and grants, and scholarships will be awarded based on availability.
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Email *
Parents/Guardian's Name (First and Last) *
Mobile Phone Number *
Address *
Do you have Pacific Source Insurance? *
Child's Name (First and Last) *
Child's Birthdate *
MM
/
DD
/
YYYY
Gender *
Grade *
School *
Amount of Financial Assistance Requested (Amount granted will depend on availability of funds) *
Players Lives With *
Required
Has the player ever received financial aid?  If so, for which programs? *
Does the player have reduced lunch or free lunch at school? *
I understand that my application authorizes The PAC Community Center to obtain verification of all information on this application.  I certify that all of the information on this form is true and correct and that I will comply with each of the "Requirement Checklist for Eligibility" items on the application instructions. *
Questions or Comments
Terms of Service *
Required
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