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Get Pysa Soccer Scholarships Form

Print Form Submit by E-mail PYSA Scholarship Application Prodigy Youth Soccer Association PYSA is a non profit organization with the goal of establishing a positive professional soccer experience for Topeka youth. In an effort to provide every child the opportunity to play soccer scholarships are available on a limited basis. In an effort to provide every child the opportunity to play soccer scholarships are available on a limited basis. Scholarships are granted based upon financial need and personal hardship. Parent/Guardian Name First and Last Apt/Unit No. Street Address State KS City Home Phone Number Zip Code E-mail Address Child s Full Name Gender Age Season Team Name Have you been awarded a Prodigy scholarship before Total Gross Household Income Male Spring Full Trainer Fee One Season 1/2 Trainer Fee One Season Scholarship Requested Fall Female Yes Reduced School Lunch Program No When Household check all that apply Less than 25 000 Full Single Parent Household 25 000-50 0000 Half Two Parent Household 50 000 and above None Other children that play for Prodigy Please list other sports the player participates in Additional comments Previously awarded Prodigy scholarship recipients will be required to complete 25 hours of community service before a scholarship will be awarded. Date PYSA reserves the right to deny any application based upon program and resource availability. Print Form Submit by E-mail PYSA Scholarship Application Prodigy Youth Soccer Association PYSA is a non profit organization with the goal of establishing a positive professional soccer experience for Topeka youth. In an effort to provide every child the opportunity to play soccer scholarships are available on a limited basis. Scholarships are granted based upon financial need and personal hardship* Parent/Guardian Name First and Last Apt/Unit No* Street Address State KS City Home Phone Number Zip Code E-mail Address Child s Full Name Gender Age Season Team Name Have you been awarded a Prodigy scholarship before Total Gross Household Income Male Spring Full Trainer Fee One Season 1/2 Trainer Fee One Season Scholarship Requested Fall Female Yes Reduced School Lunch Program No When Household check all that apply Less than 25 000 Full Single Parent Household 25 000-50 0000 Half Two Parent Household 50 000 and above None Other children that play for Prodigy Please list other sports the player participates in Additional comments Previously awarded Prodigy scholarship recipients will be required to complete 25 hours of community service before a scholarship will be awarded* Date PYSA reserves the right to deny any application based upon program and resource availability. Please mail the completed application to PYSA PO Box 4786 Topeka KS 66604-4786 Form No* 01 July 16 2010 PYSAPO Box 4786TopekaKS66604-4786www. Scholarships are granted based upon financial need and personal hardship* Parent/Guardian Name First and Last Apt/Unit No* Street Address State KS City Home Phone Number Zip Code E-mail Address Child s Full Name Gender Age Season Team Name Have you been awarded a Prodigy scholarship before Total Gross Household Income Male Spring Full Trainer Fee One Season 1/2 Trainer Fee One Season Scholarship Requested Fall Female Yes Reduced School Lunch Program No When Household check all that apply Less than 25 000 Full Single Parent Household 25 000-50 0000 Half Two Parent Household 50 000 and above None Other children that play for Prodigy Please list other sports the player participates in Additional comments Previously awarded Prodigy scholarship recipients will be required to complete 25 hours of community service before a scholarship will be awarded* Date PYSA reserves the right to deny any application based upon program and resource availability. Please mail the completed application to PYSA PO Box 4786 Topeka KS 66604-4786 Form No* 01 July 16 2010 PYSAPO Box 4786TopekaKS66604-4786www.

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