Wellness Weekend Scholarship Application
Thanks for wanting to attend the Wellness Weekend: Intro to Rocket Yoga! We work really hard to make it so that economics are not a barrier to joining us. We do ask that you donate what you can for the program, to help offset food and lodging costs as well as help us afford to give more people discounts.

Please take a moment to fill out this questionnaire so we know some logistics around your visit and we will be in touch to confirm shortly. Please note that filling this out does not guarantee you a spot, as our programs tend to fill up. If you have any questions you can e-mail us at events@groundswell.institute. Thank you!

What is your first name? *
Your answer
What is your last name? *
Your answer
What is your e-mail? *
Your answer
Do you have any other special needs we should know about?
Your answer
How would you like to help out? *
Have you been to Groundswell program before? *
Ideally, what day do you want to arrive? *
How much can you afford to give? (None is O.K.) *
Your answer
Have you received another scholarship this year? *
Why do you need a scholarship? *
Please only write 1 to 3 sentences
Your answer
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