STRONGER TOGETHER @ HIIT LAB
This initiative is a collective program to provide HIIT Lab memberships for low income community members in West Seattle.
Sign in to Google to save your progress. Learn more
Thank you for your interest! If you are currently considered low income and our membership is not financially accessible for you, please submit the request form below to apply for our Stronger Together Solidarity Fund. The below chart is a general guide rather than prerequisite.
First & Last Name *
Email Address *
Phone Number *
Do you have SNAP benefits? *
What are you able to contribute toward a membership, if anything? *
How do you feel you would benefit from a HIIT Lab membership? *
How did you hear about this program? *
Anything else you'd like us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hiit Lab. Report Abuse