Number of children in family playing SCUFC Competitive Soccer (ECNL, Select or Junior Academy) *
Your answer
Player's Name(s) - Please list the names of all children playing *
Your answer
Household Income *
Amount requesting to be paid by applicant/child (based on 10 month payment plan). NOTE: All approved applicants will pay the initial Registration Fee, plus the monthly installment payment below. *
Maritial Status
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Employment Information (Please select all that apply) *
Required
Federal or State Aid you are currently receiving (please select all that apply) *
Required
Please list any UNUSUAL financial obligations or hardships (i.e. Medical bills, recent loss of job).
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I agree that everything stated in the above application is correct to the best of my knowledge. I also agree to provide verification of income. *
I understand that I must be current with any outstanding balances due to SCUFC or SCUFC/YMCA before I will be awarded further assistance. I also understand that Payment of team fees are separate and are not included in this amount awarded. *
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