Application for Financial Assistance

Application for Financial Assistance

The Red Wing Soccer Club provides assistance to offset a portion of the registration fees for participation in the program based on the application that includes a financial and/or personal need and comparison to a sliding fee schedule. Please complete the information fully as incomplete applications cannot be processed.
Player Information*

First NameLast Name
Date of Birth*

MonthDayYear
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 1 Information*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you currently employed?*

YesNo
If you are employed:
Name of Employer Monthly Gross Income
Parent/Guardian 2 Information

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Are you currently employed?

YesNo
If you are employed:
Name of Employer Monthly Gross Income
Does the household receive any additional money that is not from work?*

YesNo
Amount received per month $

Source of the funds: child support, social security, etc
How many people are in your household?
Adults Children
What amount could you afford to pay?*
Please describe any unusual expenses or other personal situations that make it difficult for you to pay the registration fee.*
Upload proof of income (last two paystubs, first page of your most recent 1040 Federal or State income tax return).*

Cancelof
Signature*

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