Player Assistance Fund Application
Massapequa SC PAF Application
Please fill out the below form to apply for financial assistance from the Massapequa Soccer Club Player Assistance Fund. All information must be completed; failure to complete any section will result in a denied request. All information is considered confidential.
Player Name (Last, First)
Your answer
Player Address
Your answer
First Date Registered with MSC
Your answer
Parent Name (Last, First)
Your answer
Parent Phone #
Your answer
Parent Email Address
Your answer
Team Name, Team Age Group
Your answer
Amount Requested
Seasonal Registrants: $500 maximum per player per season (e.g. Fall). Annual Registrants (Elite Program): $1000 maximum request per soccer year (Fall & Spring).
Your answer
Reason for Request:
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Does the player in question participate in other youth sports or activities? (If YES, please list)
Your answer
Terms of Acceptance
Required
E-Signature in the following format "/John Doe/"
Your answer
Submit
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