Hickory Hills Youth Baseball / Softball League

Application for Hardship

HHYBS provides the opportunity to play the game of baseball &

or softball to local children no matter what their playing ability &
or financial situation. Our goal is to ensure the enjoyment of the
game!

Please print all information. Applications will be processed only after all
information is submitted and application is filled out completely.

Parents Name________________________ Home Phone_______________

Address______________________________Work Phone________________

City_________________________ State________ Zip Code____________

Birthdate____________________

Please list everyone living in your household.

Names Adults/Children Living in Home Relationship School/Employer Age
________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Have you ever applied for hardship assistance with HHYBS? YES NO
If yes, when? _______________

Why are you applying for hardship assistance?

_______________________________________________________________________
_______________________________________________________________________
__________________________________________________

For which division are you seeking assistance for your child(ren)?
Shetland____Pinto_____Mustang_____Bronco______ Pony______

Softball, Baseball or both? ___________________

Children participating and ages? ______________________________________

________________________________________________________________

Are the children current HHYBS players? YES ____ NO ____ How long? ______

What is the dollar amount that you have the ability to pay? $____________

I verify that all the information submitted is correct and accurate. I also
understand that the fee for my children to play at HHYBS is decided upon
by the Executive Board. I will volunteer my services to the League and work
off my fees whenever possible. I understand that failure to complete the
below tasks within the prescribed time period will remove my child(ren)
from the hardship program, league immediately and further disqualify my
family from any and all future hardship eligibility. I further understand that
this hardship does not include “Sunday Travel Baseball” & or the “All Star
Season”. Hardship cases will ONLY be granted for a period of two
consecutive years.

By signing below I agree that I will work off my fees by:

1. Work 1 (3 hour) concession stand shift per $25 owed. MUST BE COMPLETED BY MAY 15th.
2. Sell my Raffle book and turn in all money. MUST BE COMPLETED BY Opening Day.
3. Sell a minimum of 1 Charity Mania ticket (per child). MUST BE COMPLETED BY April 1st.
4. Work at least 2 field Maintenance days. MUST BE COMPLETED BY May 15th.
5. Be available if needed to help out at additional league functions.

Print: __________________________________________

Signature: ______________________________________

************OFFICE USE ONLY*****************

Application Reviewed by: _______________ Date Reviewed _______

Application Approved: _____ Application Denied: _____

Hardship Amount: $ __________