Scholarship Request for Online Class

Scholarship covers $99 online class fee

A $25 Registration fee for each attendee email is required

Please Complete The Form Below To Begin Scholarship Application

Number of Attendees *

First Name

Last Name

Cell Phone # *

Email *

Sponsor Name

Attendee #2 First Name

Attendee #2 Last Name

Attendee #2 Email

Attendee #2 Cell Phone

Attendee #3 First Name

Attendee #3 Last Name

Attendee #3 Email

Attendee #3 Cell Phone

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