AYSO Region 64
Through the generosity of volunteers and donors, AYSO Region 64 can offer a limited number of scholarships to families so their kids can play soccer. Our goal is to help kids have more opportunities to play soccer. Our volunteers, our families make AYSO a great organization. We ask that you volunteer and follow-through on your volunteer commitments. If you have questions about this form, please email rca@ayso64.org.
Email address
Parent/Guardian 1 - Name First and Last
Your answer
Parent/Guardian 1 - Email Address (skip if same as above)
Your answer
Parent/Guardian 1 - Mobile Phone Number
Your answer
Parent/Guardian 1 - Profession/Job and Company
Your answer
Parent/Guardian 2 - Name First and Last
Your answer
Parent/Guardian 2 - Email Address
Your answer
Parent/Guardian 2 - Mobile Phone Number
Your answer
Parent/Guardian 2 - Profession/Job and Company
Your answer
Estimated Monthly Household Income
Scholarship Child 1 Name
Your answer
Child 1 Gender
Child 1 Birth Year
Your answer
Scholarship Child 2 Name
Your answer
Child 2 Gender
Child 2 Birth Year
Scholarship Child 3 Name
Your answer
Child 3 Gender
Child 3 Birth Year
Your answer
Reason for request (Check all that apply)
Other information you would like to add
Your answer
Please type your first and last name below to certify the information in this form is true and correct
Your answer
AYSO is a volunteer run organization
We recognize families have many reasons to apply for a scholarship or financial aid. AYSO is volunteer run. We ask that scholarship families take at least 1 or more volunteer jobs to help run a successful soccer program. If you can not volunteer your effort or time, please be clear when communicating with the volunteer coordinator or your team. Your volunteering will not affecting your application.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms