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Player Scholarship Application
Parent/Guardian Name (First and Last)
(Required)
Address
(Required)
Multi-line address
Country/Region
(Required)
Address
(Required)
City
(Required)
Zip / Postal code
(Required)
Phone
(Required)
Email
(Required)
Child's Full Name
(Required)
Birthday
(Required)
Month
Day
Year
Gender
(Required)
Male
Female
Team Name
(Required)
Season
(Required)
Fall
Spring
Scholarship Requested
(Required)
Specialized Camp
Tournament Travel
Tuition Fees
Other
Scholarship Amount Requested
(Required)
Household
(Required)
Single Parent Household
Two Parent Household
Total Gross Household Income
(Required)
Less than $25,000
$25,000 - $50,000
$50,000 and above
Please list other sports the player participates in?
(Required)
Anything else we need to know?
(Required)
Submit
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