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Youth Sports Scholarship Application

  1. Sponsored by Color Country Pediatrics
    For youth ages 5-15 living within Iron County

    The Youth Sport Scholarship fund is designed to provide supplemental financial assistance (up to 80% of registration fees) to youth who may not otherwise be able to participate in youth activities offered by Cedar City Leisure Services.

    Limited funds are set aside each year to help youth participate in instructional and organized programs/activities/classes held by Cedar City Leisure Services. Applicants will be limited to one sport scholarship per quarter.

    Financial eligibility for the scholarship fund will be verified by presentation of WIC and/or Medicaid benefits.

    This application does not register the participant for the program/activity/class. Any late fees incurred are the responsibility of the parent/guardian, and will not be paid for by this program.

    Information and Application Cedar City Leisure Services Youth Scholarship Fund, sponsored by Color Country Pediatrics, For youth ages 5-15 living within Iron County

    Cedar City Leisure Services 2090 W. Royal Hunte Dr. 435-865-9223

    Eligible programs/activities/classes include but not limited to:

    • Youth T-ball and Machine Pitch

    • Youth Basketball

    • Youth Flag Football

    • Youth Volleyball

    • Girl’s Hula

    • Swimming Lessons

    Scholarship funds are not eligible for:

    • Admission to Aquatic Center

    • Contracted programs

    • Association fees

    • Equipment and uniform fees

    * Applications need to be submitted 7 days prior to registration deadline.

    * No refunds of any kind will be granted if participant is registered at full price prior to scholarship approval.

    Name of Child/Children applying for:

  2. Parent/Guardian Information

  3. Agreement *
  4. I understand*
  5. Click "BROWSE" to upload the letter from the folder you saved it too.

  6. All information provided will be used only to determine eligibility for scholarships.

  7. Leave This Blank:

  8. This field is not part of the form submission.