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Player Information
Name of Player
*
First
Last
Player Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
School
*
Date of Birth
*
Coach and Team Information
Coach Name
*
First
Last
Name of Team
Dropdown Items
*
Select Recreation or Competitive
Recreation
Competitive
Family Information
Parent 1 Information
Parent 1: Name
*
First
Last
Parent 1: Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 1: Phone
*
Parent 1: Current Employer
*
Parent 1: Current Employer Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 1: Monthly Compensation
*
Parent 1: W2 (from last tax return)
*
Click or drag a file to this area to upload.
Parent 1: Paystubb 1 (Most Recent)
*
Click or drag a file to this area to upload.
Parent 1: Paystubb 2 (Second Most Recent)
*
Click or drag a file to this area to upload.
Parent 1: Most Recent Full Tax Return (need all pages and complete Tax Return)
*
Click or drag a file to this area to upload.
Parent 2 Information
Parent 2: Name
First
Last
Parent 2: Address: (leave blank if same as parent 1)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 2: Current Employer
Parent 2: Current Employer Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent 2: Monthly Compensation
Parent 2: W2 (from last tax return)
Click or drag a file to this area to upload.
Parent 2: Paystubb 1 (Most Recent)
Click or drag a file to this area to upload.
Parent 2: Paystubb 2 (Second Most Recent)
Click or drag a file to this area to upload.
Parent 2: Most Recent Full Tax Return (need all pages and complete Tax Return) unless you file as a family and the full tax return is included in Parent 1
Click or drag a file to this area to upload.
Additional Information
Are you submitting multiple financial aid applications for more children?
*
Yes
No
Do you have other children playing soccer?
*
Yes
No
Where do they play?
*
The monthly fee you are able to pay
*
Continuous years playing with Elk Grove Soccer?
*
Please select
1
2
3
4
5
6
7
8
9
10
11+
Are you willing to volunteer for Elk Grove Soccer
*
Please select Yes or No
Yes
No
If you answered yes to the above, please let us know when and how you can volunteer
Is you current financial situation temporary?
*
Please select Yes or No
Yes
No
If you answered yes, can you please explain below:
Signature and Financial Aid Policy
Clear Signature
I hereby certify that all of the above information is true and correct. I understand that false statements on this application shall be considered sufficient cause for disqualification from funding assistance. I understand that this information is being provided as a method to assist in determining the level of financial assistance that may be awarded toward player fees for the soccer season. I have read, understood, and will abide by the club's I understand that monies provided through this application process will be used to pay Elk Grove Soccer fees and will not pay for any supplemental expenses associated with participation such as travel expenses, team fees or uniforms. I understand that failure to complete my commitment may result in me being required to pay back the financial aid and denied any future additional financial aid. Disputes will be settled in Small Claims court in Sacramento County. The Elk Grove Soccer Financial Aid Committee meets as needed to process applications. Elk Grove Soccer reserve the right to discontinue financial assistance at any time if the information provided is inaccurate. Elk Grove Soccer reserves the right to change this policy in the best interest of the League and with or without notice.
Name
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