Kick Out Lupus- Youth Camp Scholarship Form
Event Timing: July 27, 2019, 9:00AM-3:00PM
Event Address: Evergreen SportsPlex
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Email address *
Parent Name (First, Last) *
Your answer
Player Name (First, Last) *
Your answer
Email *
Your answer
Phone Number *
Your answer
Player Birth Date *
Your answer
Player Gender *
T-shirt Size? *
How would this scholarship benefit you as a person and as a soccer player? *
Your answer
A copy of your responses will be emailed to the address you provided.
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