Cheyenne Soccer Club Competitive and Recreation Program Scholarship Request Form Competitive Scholarships are for ½ the season’s fees. The parents of the player will pay the other half of the fee by putting a debit or credit card on file, using one of the payment plans on Got Soccer before July 15, before the player will be placed on a team and awarded the scholarship. Parents or Guardians of the players will be placed on a volunteer committee to help CSC in ANYWAY asked during the season If the parents fail to help then the scholarship will be revoked and charged to the credit/debit on file. Applications are to be received by July 1. Recreation Scholarships are for the full season. Parents or Guardians of the players will be placed on a volunteer committee to help CSC during the season. If the parents fail to volunteer throughout the season, their scholarship may be revoked and full payment may be charged to the credit/debit on file. Applications are to be received by July 1 for the Fall season and by February 28 for the Spring Season. For both the Recreation Scholarships and Competitive Scholarships we will require the school lunch free or reduced lunch form for your child from your child's school prior to awarding a scholarship. Date: _________________________ Players Name: _____________________________________________________________________________ Age: ___________________DOB:________________________________________________________ Coach: ______________________________________________________________________________ Number of Adults in Household: __________________________________________________________ Number of Children in Household: _________________________________________________________ NUMBER OF CHILDREN PLAYING SOCCER: RECREATIONAL: ______________ COMPETITIVE: ______________ Gross Income: Monthly: ____________ or Yearly: _____________ Reason for request:(medical expenses, employment,etc)_______________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ______________________________________________________________________________ Print: Parents Name: __________________________________Signature:__________________________ Phone Number: _______________________ Email: ____________________________________________ You will be notified as to whether your request for a scholarship is approved. CSC reserves the right to ask for proof of income. You may mail the form to CSC PO BOX 2774 Cheyenne WY 82003 or email to [email protected] If you have questions please call us at 307-635-4625.