One-Time Fee Waiver Request
Contact Information
Name
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
Please enter a valid phone number.
Birth Date
*
-
Month
-
Day
Year
I am requesting assistance to subsidize the fee for Sozo ministry at Bethel Church of Atlanta. My ability to pay the fee (in part or in whole) is challenging for the following reasons (Please give as much detail as possible to help the Bethel Atlanta Team make a fair determination):
*
Type of waiver requested (full or partial)
*
Please Select
I am requesting a partial waiver of the fee.
I am requesting a full waiver of the fee.
Submit
Should be Empty: