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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 - $75,000

$75,000 - $100,000

$100,000 and above

Please list other sports the player participates in?(Required)

Anything else we need to know?(Required)

I have read and agree to the Playse Cares Scholarship Terms & Conditions.

Inspiring youth through sport, leadership, and global experiences.
Miami Beach, FL.

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Playse Cares is a scholarship initiative managed by Miami Beach Youth Sports Foundation,

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