Scholarship Application
We understand that times are difficult for many of us right now. If you're under financial distress and unable to afford the program, please fill out the form below for consideration in our full scholarship option.

For more info on the program, payment plans, & rates:

If you have any questions, please send an email to
First Name *
Last Name *
Email *
Phone *
Where are you located? *
Briefly, explain your current circumstances: *
Please explain what you hope to get out of the 6 week wellness program: *
Is there any other information you would like to share with us, to help us in our selection process? *
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