2023 Youth Scholarship Application

2023 Youth Scholarship Application
2023 Bringing America Back to Life Convention - March 10 - 11th

Embassy Suites, 5800 Rockside Woods Blvd, Independence, OH
A very generous donor is sponsoring a 50% discount for a limited number of students for the Bringing America Back to Life Convention. These scholarships are open to students in University and students in grades 7 -12. This is a wonderful opportunity for our youth to learn about what is happening in the Pro-Life movement while becoming empowered to defeat the culture of death.

A “Speakers Only” day pass is $12.50. Meals are extra but with a 50% off discount with breakfast $12.50, lunch $12.50 & dinner $25.
Student Name*

First Name Last Name
Date of Birth*

MonthDay Year
Date
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*
E-mail*
Enter E-mail Here
School and/or Prolife-Profamily Group that you belong*
Please write a one-sentence reason why you would like to attend/participate in the Convention*
Should be Empty:

2023 Bringing America Back to Life Convention - March 10 - 11th