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Bike School Bentonville Scholarship Request Form
Bike School Bentonville is committed to removing barriers to participation in our program. If funds to participate are an issue, please fill out this form and we will get back to you with instructions on how to register. For any questions, please reach out to
kyla@bikeschoolbentonville.com
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Participant Name
Your answer
Participant Email Address
Your answer
Requester Name (If different from participant)
Your answer
Requester Relationship to Participant
Your answer
Program Requesting Assistance For
Trail Kids
Spring Break Camps
Summer Camps
Weekend Classes
Other:
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Please describe why you are requesting a scholarship.
Your answer
I am able to pay $____ toward the fee for the program.
Your answer
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