WaGiSS Scholarship Request

WaGiSS Scholarship Request

You will be notified via email when a decision has been made.
Name*
First, Last
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Current age*
What strength sport do you participate in?*
Why do you want a scholarship to this event?*
Tell us your story
I understand this scholarship is for the cost of the conference regsitration fee. It does not cover travel or food cost.
Signature*

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