AYSO 177 Scholarship Application
AYSO Region 177 (Belmont Shore / Long Beach) is a non-profit, all-volunteer organization committed to ensuring every child has the opportunity to play soccer. Our scholarship fund supports families for whom the full registration fee is a hardship. While funds are limited, we aim to help as many as possible with fairness and transparency.


Scholarship Guidelines:


1. Submit a separate application for each child.
2. Information is confidential and used only for review.
3. Volunteering is encouraged but not required.
4. Scholarships cover registration only. The $25 National Membership Fee must be paid by the applicant.
5. Applications must be submitted by June 30, 2025.
6. Email forms to rcayso177@gmail.com or hand to a board member
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Player name *
Participated in Region 177 before? (Yes/No) Year(s):  
 *
Birthdate:
 *
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/
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Parent/Guardian Name:  
 *
Family members in household:  
 *
Contact info (email and phone number) *
Why are you requesting scholarship support?  
 *
School Name:  
 *
What can your family contribute toward the fee? (excluding $25 National Fee)
 *
Parent/Guardian Signature:  
Date: *
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DD
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