2026-27 Hardship Application

The following pages contain NPHA's Hardship Application for the 2026-27 season. Please review and answer all questions. Your responses will be shared only with the Registrar and NPHA Board of Directors and information provided will be kept confidential.

Guardian First Name*

Guardian Last Name*

Guardian Phone Number*

Guardian Email*

Guardian Address*

Guardian City*

Are you currently employed?*

2nd Guardian First Name*

2nd Guardian Last Name*

2nd Guardian Phone*

2nd Guardian Email*

Is 2nd Parent/Guardian currently employed?*

Player Name (first and last)*

Player 1 Level of Play*

Player 2 Name (first and last)

Player 2 Level of Play

Player 3 Name (first and last)

Player 3 Level of Play

Player 4 Name (first and last)

Player 4 Level of Play

Have you ever received financial assistance from NPHA in the past?*

If yes, what was the nature of the assistance provided?

What type of assistance are you seeing this season?* HARDSHIP ASSISTANCE TYPES NPHA may be able to offer Full or Partial assistance to your family. Please note: that hardship awards are subject to board approval and may vary depending on available funding and incoming donations. PARTIAL assistance does not include a discount on the skater fee, but does offer the extended payment plan option (seven months instead of five) for those families who just need a couple additional months to reduce their monthly payment totals. FULL assistance includes the extended payment plan as well as a discount on the player's skater fee.

Please explain the nature of your hardship:*

Please explain any other assistance you receive (i.e. public assistance, etc)

Did your child(ren) participate in any off-season hockey programs?*

If yes, which program(s)?

Disclaimer and Signature* I certify that my answers are true and complete to the best of my knowledge. If this application leads to assistance, I understand that false or misleading information on my application may result in forfeiture of assistance granted. Electronic Signature:

For Players

For Parents

For Coaches

For Team Managers

2026-27 Hardship Application

Confirmation