RLT Scholarship Form for Youth Classes
Please complete one form per student you are requesting assistance for. If you would like to request funds for multiple classes for the same student, please list all class names in that field on the form.
* Required
Email address
*
Your email
Student Name:
*
Your answer
Student Grade Level:
*
Your answer
Student's School:
*
Your answer
Parent/Guardian Name:
*
Your answer
Parent/Guardian Phone Number:
*
Your answer
What is the best way for us to contact you?
*
Email
Phone
Either
Does your child qualify for free and reduced lunch?
*
Yes
No
Class Name:
*
Please enter the name of the class you would like to register your student for.
Your answer
Please tell us in 1-2 sentences about your student's interest in the class and what their goals are:
*
Your answer
How much are you able to pay towards the cost of the class?
*
Your answer
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