Spring '25 Scholarship Request Form

As of May 2024, LSA has adopted a Scholarship Program Policy. Before submitting an application, the applicant must read the whole policy in its entirely and abide by the policies outlined in the program above. Failure to do so will impact the eligibility to receive a scholarship this season and/or in the future. Once you have read the policy, please type your name below indicating that you have read and understand this policy before proceeding to the application.

Please note the deadline for applications this season is December 28th. We will not accept any applications past this date.
Name

First NameLast Name

LSA Spring Soccer Registration

DEADLINE: Dec 28, 2024
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many residents are in the current household*
Include adults and children who occupy the household
Please Select Current Income Range for household*

Less than $20,000$20k-$40k$40k-$60k$60k-$80k$80-$100kPrefer not to discloseInformation not available at the moment
Please select which closely relates to your current hardship (select up to two, if necessary)*

MedicalDeathMovingDivorceDisabilityExcessive ObligationsOther
Please provide more information about the hardship you selected above*
Name of player #1*

First NameLast Name
Birth Date of player #1*

MonthDayYear

If you have multiple children, please enter their information here
Please Enter any additional player's that you have, and would like to be considered for a partial or full scholarship
Birth Date of player #2

MonthDayYear
Birth Date of player #3

MonthDayYear
Birth Date of player #4

MonthDayYear

Once you have completed the information required above, read our statement below, check, and then submit form for review by our Scholarship Panel.
Should be Empty:

LSA Spring Soccer Registration