Scholarship Application

Participant's Name *

First

Last

Participant's Age *

Parental Contact Name *

First

Last

Parental Contact Email *

Parental Contact Phone *

List the program name & dates or camp names & dates you are interested in registering for: *

Have you previously received a scholarship from First Touch Soccer? *

How long has your child participated in programing at First Touch Soccer? *

If necessary what portion of total fees are you able to contribute? *

Does your family receive any of the following services? Check All that Apply *

Nutrition Assistance Program (i.e. Free and Reduced Lunch, Snap, WIC, ect)
Subsidized Housing (HUD, Section 8, LIHTC, etc.)
Medicare or Medicaid
Temporary Assistance for Needy Families (TANF)
None of the Above

If your family participates in another governmental financial aid program please state below.

Briefly describe your financial or special circumstances that you feel should be considered in this request and may not be represented by the questions above: *