Soccer Scholarship Application Form

Empowering Young Players & Supporting Families

Futbol Tech, in collaboration with AYSO Region 345 (West Palm Beach, Florida), is thrilled to offer 50 soccer scholarships for the upcoming season. Our goal is to make soccer accessible to all, with a focus on supporting low-income families and single mothers who may otherwise face financial barriers to enrolling their children in sports.

These scholarships will cover the registration fee as determined by AYSO Region 345, giving young athletes the chance to train, grow, and thrive through soccer, while building valuable life skills and community connections. We believe in the power of soccer to bring positive change to families and communities, and we’re committed to creating opportunities that uplift and empower.

If you meet the eligibility criteria, we invite you to apply for this scholarship by completing the form below. The deadline for applications is November 30th by 11:00 PM, so apply soon to be considered!

Let’s make soccer accessible to everyone—because the future of the game is inclusive, supportive, and full of possibility.

Spring 2025 Information

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Applicant Information

Full Name of Applicant (Child) Please enter a valid name (letters only).

Date of Birth Please select a valid date of birth.

Gender Please select a gender.

Grade Level Please select the grade level.

School Name Please enter a valid school name.

Parent/Guardian Information

Full Name of Parent/Guardian Please enter a valid name (letters only).

Relationship to Applicant Please specify the relationship (e.g., Mother, Father).

Phone Number Please enter a valid phone number (10-15 digits).

Email Address Please enter a valid email address.

Home Address (including city, state, zip code) Please enter a valid address.

Family and Financial Information

Household Income Level Please select a household income level.

Number of People in Household Please enter a valid household size.

Describe your family’s financial situation and how this scholarship would help your child Please describe your financial situation.

Soccer Experience & Interest

How long has the applicant been playing soccer? Please select an option.

Current Team/Club
(if applicable) Please enter a valid team/club name.

Position Played
(if applicable) Please enter a valid position.

Why is soccer important to you and your child? Please describe the importance of soccer.

Academic and Personal Information

Current GPA or Academic Performance (if applicable) Please enter a valid GPA between 0 and 4.

Extracurricular Activities (Include sports, clubs, volunteer work, etc.) Please provide information about extracurricular activities.

Has your child received any awards or recognition? Please select Yes or No.

Location and Accessibility

Important to Understand

AYSO Region 345 is located at:

Okeeheelee Park
7715 Forest Hill Blvd
West Palm Beach, FL 33413

Please consider the distance to this location before applying.

How far is your home from our training facility? Please select a distance.

Do you have reliable transportation to get to the training facility? Please select an option.

Before continuing, please confirm that the participant is able to attend the training sessions listed below:

GAMES are held between 8:00 am and 7:00 pm and are held at Okeeheelee Park

PRACTICES are MONDAY & WEDNESDAY or TUESDAY & THURSDAY.

(The Volunteer Coach picks the Day & Time for Practice)

6U & 8U (2017-2020 birthdate) Practice 6:00 pm to 7:00 pm
10U & 12U (2013-2016 birthdate) Practice 7:00 pm to 8:00 pm
14U & 19U (2006-2012 birthdate) Practice 8:00 pm to 9:00 pm

Please describe any transportation or accessibility concerns that may impact your ability to attend training sessions regularly. Please describe any concerns.

Commitment and Availability

Are you committed to attending regular training sessions if awarded the scholarship? Please select Yes or No.

Please list any scheduling conflicts or limitations (e.g., specific days/times unavailable) Please describe any scheduling conflicts or limitations.

Additional Information

How did you hear about the scholarship program? Please let us know how you heard about the scholarship.

Any additional comments or information you'd like to share? Please provide any additional comments or information.

Consent and Signature

I certify that all the information provided is accurate. You must certify the accuracy of the information.

Parent/Guardian Signature Please provide a signature.

Date of Submission Please enter the date of submission.

Please note that applying does not guarantee selection for the scholarship. We will personally contact each selected applicant by phone to confirm their scholarship award and next steps.

I accept. You need to mark that you accept

AYSO Region 345/Okeeheelee American

Youth Soccer Organization

Spring 2025 Information Information can also be found on our website at AYSO345.com

AYSO IS AN ALL-VOLUNTEER ORGANIZATION FROM BOARD MEMBERS, COACHES, REFEREES, AND TEAM MANAGERS. WE NEED VOLUNTEERS IN ALL POSITIONS TO HELP US RUN OUR LEAGUE.

GAMES are on Saturday’s starting February 8 and ending March 29, 2025
GAMES are held between 8:00 am and 7:00 pm and are held at Okeeheelee Park
PRACTICES are MONDAY & WEDNESDAY or TUESDAY & THURSDAY.
- (The Volunteer Coach picks the Day & Time for Practice)
- 6U & 8U (2017-2020 birthdate) Practice 6:00 pm to 7:00 pm
- 10U & 12U (2013-2016 birthdate) Practice 7:00 pm to 8:00 pm
- 14U & 19U (2006-2012 birthdate) Practice 8:00 pm to 9:00 pm

WE WILL ATTEMPT TO FULFILL REQUESTS FOR CERTAIN NIGHTS (IF NOTATED ON REGISTRATION FORM, OTHERWISE, WE WILL ATTEMPT TO PUT ON THE SAME NIGHTS OF PRACTICE AT OUR DISCRETION)) FOR PRACTICE DAYS, HOWEVER, WE CANNOT GUARANTEE THIS. THERE WILL BE NO SWITCHING AFTER THE TEAMS ARE FORMED DUE TO UNBALANCING TEAMS.

Coaches will notify you of your team by January 26, 2025, and practices will start January 27, 2025
Teams will be posted on the concession stand on January 26, 2025.
If you have not heard from a coach by January 26, 2025, and HAVE CHECKED the posted teams on the concession stand and your child is not listed, please contact the registrar at REGION345@aol.com
All children will receive a uniform consisting of a game shirt, short, and socks. They will also receive a practice shirt with their sponsor’s name on them. (We will need sponsors at varying costs for over 100 teams. If interested, please contact us at region345@aol.com or applications are available in the office)
All children will receive a medal at the end of the season, a subscription to PLAYSOCCER Magazine, and accident insurance.

REQUESTS FOR NON-SIBLING CHILDREN TO BE ON THE SAME TEAM TOGETHER CANNOT BE FULFILLED. WE CAN ONLY GUARANTEE SIBLINGS IN THE SAME DIVISION AND GENDER TO BE ON THE SAME TEAM TOGETHER.

Equipment needed for practices & games – Shinguards, water bottle, soccer cleats, and ball to practice with. Balls are sized accordingly: Size 3 for 4- to 7-year-olds (6U’s & 8U’s), Size 4 for 8- to 11-year-olds (10U’s & 12U’s), and Size 5 for 12 and older (14U’s, & 19U’s)