Please note: this form is for Special Needs Scholarship requests only.

For General Scholarship information, please fill out our General Scholarship Request.

The Safe Haven West Side Basketball League strives to ensure that economic hardship is not an obstacle to participation.

Partial scholarship: Reduced fee: $75 (Use the code Partial22-23 at registration)

Full scholarship: Available to players who attend elementary or middle public schools and to Special Needs Champions Division. Before registering, please submit the full scholarship request form below. You will subsequently be sent instructions regarding registration and payment of $10 administrative fee

Special Needs Champions Division Scholarship Request

Safe Haven Hoops offers scholarships and reduced fees for qualifying Players and families. If you would like more information or to see if you qualify, please use this form and we will contact you shortly about your options.
Please use this field to describe in a few sentences why you are in need of Scholarship assistance.
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For a mail-in version of our Scholarship Request Form, download the PDF file here.

Mail or Drop off form and payment payable to:

Safe Haven West Side Basketball League
c/o Copy Experts, Box 257, at 2424 Broadway (89th Street), New York, NY 10024.