KPSL Scholarship Form
Fall 2021
Club Name:
Team Name:
Contact Name:
First Name
Last Name
Contact Email:
Contact email
Contact Phone Number
Phone Number
Total Scholarship Amount Requested:
Not applicable for club fees; just team fess such as tournaments, league fees and uniform.
Player Information (if more than five players, please add to the scholarship use section below):
Full Name
Birth Date
(MM/DD/YY)
Gender/Age
(ex U15B)
Full Address
1
2
3
4
5
Specifically, how would each player use the scholarship? Please list each player and the exact amount for each fee:
Not applicable for club fees; just team fees such as tournaments, league fees and uniform.
Please list each players economic situation and any other pertinent comments:
Submit
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