Scholarship Form

To download and print your form, click here. To fill out online, please fill out the form below.

Student Name(required)

Parent/Guardian Name(required)

Email(required)

Address(required)

Phone Number(required)

Sport you'd like to participate in(required)

Cost(required)

Sport / Club Team, Coach, Contact info (email, phone)

Does your family qualify for free and reduced lunch or federal aid?(required) Yes

What amount of scholarship are you requesting?

Do you need us to help provide shoes or equipment for this sport? Yes

PARENTS: If the Landen Lucas Foundation commits to helping pay the necessary fees for your child to participate in this sport, will you commit to getting him/her to practice, providing water and healthy meals, and encouraging your young athlete to keep trying even when it’s tough?(required) I am committed.

I am not.

STUDENTS: If the Landen Lucas Foundation commits to helping pay sports fees for you to participate in the sport, will you commit to pursue excellence by learning and improving your skills, cheering for others, not giving up, and trying to always do the right thing?(required) I am committed.

I am not.

Any additional message or notes:

Our Motto: Pursue Excellence Cheer For Others Do What’s Right

We hope to be a blessing to your family and will contact you soon with further information. Thank you! Shelley Lucas – Landen Lucas Foundation Director

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