RyzAb0ve Fitness Scholarship Application
Please fill out the information below. The information provided will be kept confidential.
Participant Name
*
First Name
Last Name
Participant Birthdate
*
-
Month
-
Day
Year
Date
Has the person listed above participated in any RyzAb0ve Fitness classes or events before?
*
Yes
No
Parent/Caregiver Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
example@example.com
Which class rate below would make consistent class attendance attainable? (Please elaborate below)
*
$15 per session (25% discount)
$10 per session (50% discount)
$5 per session (75% discount)
I am currently not able to pay anything for my child or love one to attend.
If you are awarded the descounted rate, how often would you estimate the participant to attend class?
*
1 Class per week
2 Classes per week
All 3 classes each week
1-2 Classes monthly
Please share in your own words why you should be considered for discounted or free class rates:
*
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