BH Rapids Recreational Scholarship Form
These scholarships are available to soccer families participating in the Black Hills Rapids Recreational Program. This scholarship application form must be completed to be considered for a scholarship. 

General Instructions to Applicant
Fill out the below form to the best of your knowledge. The form will be reviewed by the BHR staff for approval. 
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Email *
Full Name of Applicant *
Phone Number *
Email Address *
Home Address *
Number of years the applicant has been involved in soccer? *
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian's Name *
Parent/Guardian's Occupation  *
Parent/Guardian's Home Address (If different from above)
Parent/Guardian's Phone Number (If different from above)
Parent/Guardian's Name 2
Parent/Guardian's Occupation 2
Parent/Guardian's Home Address 2 (If different from above)
Parent/Guardian's Phone Number 2 (If different from above)
Name & ages of siblings/other dependents. 
Academic awards and/or achievements. Please list all.
What other activities does the applicant participate in?
List any community service the applicant participates in. 
Expected Cost of participation (Select all that may apply) *
Required
Financial Need Summary. Please list Household Annual income for the current year.  *
You may describe any special circumstances such as medical conditions, disabilities, etc. that may affect your ability to pay for your Rec registration fee(s). 
I do state the above information is accurate to the best of my knowledge.  *
Required
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