ASC Scholarship Request
PLEASE READ FIRST: We have a limited number of scholarships available. In order to be considered for a scholarship, you must fill out all information below. Accepted applications will receive a discount code to enter during online registration
reducing the fee from $155 to $50.
Number of players that you are applying for
Your answer
Name of player(s)
Your answer
Playing Recreational Soccer or Competitive (Tide)
If Competitive Soccer (Tide) which Team/Coach?
Your answer
Name of Parent or Guardian
Your answer
Email Address
Your answer
Address
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Phone
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Occupation of Father
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Total Monthly Salary (Father)
Your answer
Occupation of Mother
Your answer
Total Monthly Salary (Mother)
Your answer
Please include any information that would help us understand your situation:
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Do you make payment on a mortgage for your home?
How much is your house payment?
Your answer
What is your combined total monthly income after taxes including all child support?
Your answer
Number of children that you are financially responsible for?
Your answer
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