Blackhawks Financial Assistance 2019-20
Please complete this form ONCE per family per soccer year. List all players you will be registering with Blackhawks for tryouts, fall 2019, winter 2019-20 and spring/summer 2020. Choose the programs you are registering for so we can search for and make adjustments as the year progresses. You will be able to come back to edit your response to add additional programs or players if needed.
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Email *
Parent/Guardian LAST Name *
Parent/Guardian FIRST Name *
Parent/Guardian PHONE # *
Street Address *
City *
Zip Code *
Annual Household Income Before Taxes *
Number of Individuals Supported by Income *
Do you receive child support? *
Do you receive subsidized housing? *
Do you receive food stamps? *
Do you qualify for Medical Assistance? *
Do you receive school tuition assistance? *
Do you qualify for free or reduced school lunch? *
Please list other financial assistance you receive or other factors that would play into your family receiving financial assistance from the club.
Player 1 - First Name *
Player 1 - Last Name *
Player 1 - birth year *
Apply for a 2nd player? *
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