Apply Now | Fitness Scholarship | Spirit Club Foundation

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SCHOLARSHIP APPLICATION

PLEASE COMPLETE AND FILL OUT FORM BELOW:

* not completed forms may be rejected. If approved, you must reapply after 6 months.

Reapplying does not guarantee a second 6 month term scholarship. Only one approved scholarship per person at a time.

Choose Only ONE scholarship below. Please select only that scholarship option you are applying for * All scholarships are for 6-month terms, beginning on the day of the first scheduled session

1x/wk Group Class OR Virtual Class Membership = $30 per month scholarship

2x/wk or more Group Classes = $50 per month scholarship

1 or 2x/wk Private Training Sessions = $15 per session scholarship

1x/wk Group Classes (PG County Residents Only) = $70 per month scholarship

Have you applied for a scholarship from Spirit Club Foundation in the past?

Yes

No

Applicant Name (First & Last)

Contact Name (First & Last) to Applicant

Relationship to applicant*

Applicant Email

Applicant Phone Number

Mailing Address (City, State, ZIP)

Date of Birth

If the applicant selected "Other", please explain the applicant's mode of transportation below

Employer (if applicable)

Applicant Height

Diagnosed Disability

Applicant Weight

If the applicant has any additional goals or pertinent information, please explain below

If applicant selected "Applicant has no sources of income" or "Other" above, please explain

If applicant selected "Does not receive funding support" or "Other", please explain

Your application has been submitted! You should expect to hear from a representative within the next 2 weeks regarding the status of your application. Thank you.

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