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Off The Bench Scholarship Form

Scholarships are available to young women in middle school between the ages of 9 and 14 years.

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Birth date:
Emergency Contact:
Parent(s) name(s):
Current school:
Current grade:
Name of soccer team:
Position:
Number of years playing:
Name of coach:
Coach's phone number:
Favorite school subjects:
Other sports played:
Community activities:
Hobbies & other fun activities:
Why would you like to attend soccer camp?
Shorts size:
Shirt size:
Shoe size: