Sponsorship Application Form
Applicant Information
Franchise Location:
*
Franchise Email Address:
*
I am filling out these forms:
*
For Myself as a Participant who is over 18
As a Parent or Legal Guardian on Behalf of a Participant who is a minor under 18
As a Parent or Legal Guardian on Behalf of a Participant who is over 18
Application Type:
*
New Application
Renewal Application
Scholarship Applying for:
*
Private Training
Group Classes
Participant Name:
*
First Name
Last Name
Participant Date of Birth:
*
-
Month
-
Day
Year
Parent or Legal Guardian Name:
*
First Name
Last Name
Participant Address:
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent or Legal Guardian Address (if different than Participant Address)
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Primary Email Address:
*
Alternate Email Address:
Primary Phone Number:
*
-
Area Code
Phone Number
Parent or Legal Guardian Email Address:
If different than Primary Email Address
Parent or Legal Guardian Phone Number:
-
Area Code
Phone Number
Participant Disability/Disease/Disorder:
*
How did you hear about us?
*
Back
Next
Save
Sponsorship Application Form
Applicant Story
Tell us your story and why you are seeking our services:
*
0/250
Back
Next
Save
Sponsorship Application Form
Finances Information
Number of people in the household:
*
Household Annual Income:
*
Total monthly expenses:
*
Monthly budget for Special Strong services:
*
List names and ages of household members:
*
Select two types of documentation:
*
Recent paystubs within 60 days
Bank Statements (personal & business)
Copy of last year's federal tax return
Wages and tax statement (W-2 and/ or 1099)
Please upload a copy of your recent paystubs within 60 days:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a copy of your bank statements (personal & business):
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a copy of your last year's federal tax return:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a copy of your wages and tax statement (W-2 and/ or 1099):
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Save
Sponsorship Application Form
Sponsorship Policies & Procedures
General Policies
Cancellations must be given at least 24-hours in advance for non-emergencies.
There are no make-up sessions for cancellations.
Cancellations made without giving proper notice on more than 2 missed/canceled sessions may lead to the dismissal of the participant at the discretion of Special Strong
Lack of measurable progress or compliance reported by trainer may lead to the dismissal of the participant at the discretion of Special Strong
The client will show appreciation for their sponsorship by sharing monthly social media updates and/or texts messages to specific donors
On-Site Policies
The client is responsible for any gym membership fees required to use the gym
The client is responsible for their own transportation
AGREEMENT
I HAVE READ AND UNDERSTAND SPONSORSHIP POLICIES AND PROCEDURES
MY SIGNATURE REPRESENTS THAT I AM AT LEAST 18 YEARS OF AGE, AND HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS, AND WILL EXECUTE THIS AGREEMENT.
Name:
*
First Name
Last Name
Signature:
*
Date:
*
-
Month
-
Day
Year
Save
Submit
Should be Empty: