Our Whole Lives Participation Request

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PLEASE NOTE: Both Fall 2022 classes are full! Filling out this form now will ensure your young person is added to the list for the next offering.

If you need to contact us directly, email avery@gorgebodywise.com!

Email *

Name and pronouns of person enrolling in OWL *

Age and grade of person enrolling in OWL *

Parent/guardian name(s) *

Parent/guardian phone number(s) *

Parent/guardian E-mail(s)

**please note, much of the communication about the OWL class will come via email, please include all email addresses where you'd like to receive that information**

Has anyone in your family attended OWL classes previously? Please share their name, as well as location and year they attended. *

FOR THE 7-9th GRADE COHORT:

We are offering a sliding scale payment option for this series of classes

from $750-400. What do you feel your family can contribute?

(This information is to help us estimate budget needs and availability of scholarships and will not affect your child's enrollment in class. We welcome additional funds above the scale to support the program as well, and if your family is in need of a scholarship please contact Avery Deane directly)

FOR THE 4-6th GRADE COHORT:

We are offering a sliding scale payment option for this series of classes

from $400-200. What do you feel your family can contribute?

Questions and comments

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