SCOG Financial Assistance Requests - 2018 Fall
Email address *
Please enter YOUR LEGAL First and Last Name as entered in the SCOG Website *
Your answer
I am requesting financial assistance for the following player(ONE PLAYER PER FORM PLEASE)
Please enter the PLAYERS LEGAL First and Last Name as entered in the SCOG Website *
Your answer
Please select the Players Program Type
Statement of Eligibility
Costs Eligible For Financial AId: Rates during Early Bird Registration and Rates Prior to Late Fees.

You must apply prior to the end of Early Bird Discounts or prior to Late Fees being applied. ONLY REGULAR fees are eligible for Financial Aid.

No player will be considered for financial assistance if they are rostered within another Club.

WHEN APPYING FOR FINANCIAL AID - PLEASE DO NOT PAY FOR THE REGISTRATION AT THE END OF THE REGISTRATION PROCESS.

Please Note! If you are asking for Financial Assistance, after you complete this registration please let SCOGTreasurer@gmail.com for processing.

Eligibility Confirmation *
Required
I am applying for a Soccership
Reason For Request: *
Your answer
Have you ever requested assistance before? *
Please Enter The Amount You Can Pay: *
Your answer
Please Enter The Amount Of Soccership Requested: *
Your answer
Please Select The Size of Your Immediate Family: Please Count Parents and Children in the Home:
Please Select Your Family Income Range:
Family Size Requirements
PLEASE READ AND ROLL DOWN TO THE BOTTOM TO ACCEPT!

I hereby request consideration for relief regarding SCOG fees.

I understand if my family income is less than 75% of the State Median Income, I may be considered for the sliding fee scale.
The Following Numbers were created using the following link as a guide: http://www.ctcare4kids.com/care-4-kids-program/income-guidelines/
At the current time, these figures are:

Family Size / Gross Income must be less than
2 or 3 / $65,000
4 / $77,400
5 / $89,800
6 / $102.200
7 / $104,500
8 / $106,800
9 / $109,100
10 / $111,400

Family Size Agreement - I AGREE my family meets the above conditions *
Required
Please provide details if you answered No above
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service