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Apply to be a part of ICFC
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Scholarship Application
Players Name
Gender
Male
Female
Player's Date of Birth
Location Applying For
Select one...
South Florida
St. Louis
Orange County
Charleston
Indianapolis
Salt Lake City
Parent/Guardian Name
Parent/Guardian Email Address
Parent/Guardian Phone
How long have you played for Impact City FC? *
Brand New
1 Year
2 Years
3 Years
4 Years+
Why do you want to play with Impact City FC?
How many children do you have in the club?
0
1
2
3
4+
Please Indicate your annual household income.
$36,000 or below
$37,000 to $50,000
$51,000 to $80,000
$81,000 to $100,000
$100,000 or above
Please indicate the level of assistance you desire.
10% discount
15% discount
25% discount
Other
Please upload your last 3 months bank statements.
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