Scholarship/Player Assistance Request Form

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Region 214 has a scholarship program to help ensure that every child gets the chance to play AYSO, even those who may not be able to afford the cost of registration. We ask that every family contribute what they can. Please complete this form FOR EACH PLAYER within the appropriate registration timeline for consideration.

Email *

Parent full name *

Player's full name *

Players DOB *

YYYY

Registration amount you are able to contribute *

Reason for request *

Next steps

Thank you for submitting your application to AYSO 214's scholarship program. Your application will be reviewed shortly by the scholarship committee and you will receive an e-mail notifying you regarding next steps. All registration dates and information can be found at www.ayso214.org. If you have any questions regarding the scholarship program specifically, you can e-mail us at scholarships@ayso214.org.

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