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RLT Scholarship Form for Adult Classes
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* Indicates required question
Email
*
Your email
Student Name:
*
Your answer
Phone Number:
*
Your answer
What is the best way for us to contact you?
*
Email
Phone
Either
Class Name:
*
Please enter the name of the class you would like to register for.
Your answer
Please tell us in 1-2 sentences about your interest in the class and what you're hoping to gain from the class experience:
*
Your answer
How much are you able to pay towards the cost of the class?
*
Your answer
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