Financial Assistance Request Form "*" indicates required fields Parent First Name* Parent Last Name* Child's First Name* Child's Last Name* Parent Email* Parent Cell PhoneParent Zip Code* Unit Type*PackTroopCrewShipPostUnit Number*Unit Leader Name* Does the Scout seeking assistance have any siblings in Scouting?* No Yes If Yes, How Many?*Does the Scout have a parent or guardian registered in the BSA?* No Yes If Yes, How Many?*Select Approximate Annual Household Income*Under $20,000$20,000 - $40,000$40,000 - $60,000$60,000 - $80,000$80,000 - $100,000Over $100,000Enter the Amount You Can Pay (Minimum $25.00)*Please enter a number from 25 to 105.For the individual to receive assistance through Scoutreach there must be an important and urgent need for assistance. We ask that families pay some amount for the registration in which they can afford and then to ask for the difference that is needed to complete the amount needed for registration.Amount of Assistance Requested*Please write reason for assistance needed below:*For assistance to be granted the BSA asks that the parent or guardian of the individual needing assistance please give a brief statement (2 to 3 sentences) stating the need for assistance and the reason it is needed. For assistance with this statement please talk with the Scouting Unit Leader for more information.