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.
Email address *
Student Name: *
Student Grade Level: *
Student's School: *
Parent/Guardian Name: *
Parent/Guardian Phone Number: *
What is the best way for us to contact you? *
Does your child qualify for free and reduced lunch? *
Class Name: *
Please enter the name of the class you would like to register your student for.
Please tell us in 1-2 sentences about your student's interest in the class and what their goals are: *
How much are you able to pay towards the cost of the class? *
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