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Rdian Phone: Email: Employer: Employer #: Guardian Name: Name: Occupation: Household Yearly Income: $ Home Address: City: 2011 Club: 2011 Team: 2012 Club: Zip: 2012 Team: Years in Competitive Soccer The following forms and or documents to be Submitted with this Application: Player s Club Application Guardian 1 4506T or W2 Guardian 2 4506T or W2 FEE BREAKDOWN Please provide funding distribution that MaxInMotion Financial Aid will provide: Registration: League:.

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