SCCYSC SCHOLARSHIP REQUEST FORM

(print out and include with registration)

Thanks to the generosity of donors and sponsors,

the Santa Cruz City Youth Soccer Club is able

to make available registration scholarships.

· Register using the usual form

· Provide a copy of the player’s birth certificate

· Pay a minimum of $50 per player. If you are able to pay more,
please do so as our cost per player is higher than the minimum.

PLAYER NAME:

DATE OF BIRTH:

ADDRESS:

PLEASE WRITE A BRIEF STATEMENT OF NEED.