Kick Out Lupus- Youth Camp Scholarship Form
Event Timing: July 27, 2019, 9:00AM-3:00PM
Event Address: Evergreen SportsPlex
Contact us at kate.vega@rilite.org
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of AMPEL BioSolutions, LLC. Report Abuse