Stover 25-26

Please send a copy of your most recent federal income tax return (pages 1 & 2 only) to the treasurer via email treasurer@simsburyhockey.com Subject Line: Stover Scholarship.

Or via regular mail:

SYHA – JA Stover Scholarship

Attn: Treasurer

P.O. Box 62 Simsbury, CT 06070

Date*

Skater's Name*

Skater's Level* Please confirm Skater's Level: Mite, Squirt, PeeWee, Bantam, Midget, Girls Program

Parent's Name*

Parent's Address*

If any special circumstances exist that we should consider, please list them below* Please send a copy of your most recent federal income tax return (pages 1 & 2 only) to the treasurer via email treasurer@simsburyhockey.com Subject Line: Stover Scholarship. SYHA – JA Stover Scholarship Attn:Treasurer P.O. Box 62 Simsbury, CT 06070

For Parents

For Coaches

For Team Managers

Stover 25-26

Confirmation