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2. Parent Name:
4. Phone Number:
5. Email Address:
7. Address
9. City
10. State
11. Zip Code
13. Child(ren) Name:
14. Child(ren) Age:
16. What Athletic Association are you seeking a scholarship from?

    1. Indian Trail Athletic Association
    2. Porter Ridge Athletic Association
18. What sport are you seeking a scholarship for?
20. Describe why you are seeking this scholarship:
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

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