CFC Scholarship Membership Application
Here at CFC, we believe the love, support, and tangible healthcare solutions found throughout our global CrossFit community should be available to everyone. We believe providing more access to CrossFit’s life-changing health and fitness methodology is one way we can help.
The mission of the CFC Scholarship is to spark meaningful healthcare changes in various communities throughout Hampton Roads by providing foundational health and fitness education on a sliding scale basis. 
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Name *
Date of Birth *
Phone Number *
Email *
Address (Please include city, state, and zip) *
Have you been a member of a CrossFit gym before? If so, how long and where did you attend? *
If you've never done CrossFit before, which timeframe works best to schedule your Foundations courses?  *
Have you been on a regular exercise program in the last 6 months?  *
What are your current fitness goals? Please check all that apply. *
Over the past 10 years, how many times have you started and stopped a nutrition or exercise program? *
In your own opinion, why did you fail to "stick with it?" *
What external factors have derailed your progress in the past?  *
On a scale of 1-10, how serious are you about achieving your goals?  *
Not serious at all
Very serious
How much, if anything, would you be able to contribute monthly towards your membership? *
Would the financial assistance be temporary? If so, approximately how many months?  *
Are you willing to commit to attending a minimum of AT LEAST 3x/week for AT LEAST 6 months while on scholarship and participate in monthly goal review sessions? 

**Please note this is a requirement to participate in this program.
Please tell us why you think you'd be a good fit for the program. What would it mean to you? *
Thank you for your interest in the CFC Scholarship Program. We will contact you within 10 business days regarding any openings and next steps that may be available.
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