Scholarship Membership Application
Left Coast is committed to providing affordable classes for those in our community that need financial assistance.

Students who wish to apply should fill out this form honestly. If approved, you will receive a 25% discount off of the cost of our Unlimited or Mini Membership (your choice)

Our Unlimited Membership with a scholarship is $149 / month, down from the regular pricing of $199/month. It covers unlimited classes at both of our Oakland locations, as well as our Outdoor seasonal classes.

Our Mini Membership with a scholarship is $71.25 / month, down from our regular pricing of $95 / month. It covers 4 classes per month at both of our Oakland locations, as well as our Outdoor seasonal classes.

Please note that scholarship memberships may be paused for one month per year, for a $25 administrative fee. If cancelled, student must reapply for the scholarship if they wish to re-start their membership.

Please fill out the application below and let us know a little bit about your unique financial situation.

Sign in to Google to save your progress. Learn more
Email *
Name *
How did you hear about us? *
Have you ever taken a class at one of our studios? *
Please tell us a little bit about your financial situation. *
What is your annual gross household income (before taxes and expenses?) *
Please digitally sign below, affirming the truth of the statements laid out in this application. (Type your name).
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy