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LMP Adult Financial Assistance Request Form
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
Desired class package. Check all that apply.
*
5-Class 60 Minute
5-Class 90/TRX/Aerial
10-Class 60 Minute
10-Class 90/TRX/Aerial
Required
Please describe any financial hardship you are experiencing.
*
Your answer
How much are you able to contribute to the class package? No amount is too small.
*
Your answer
Are you interested in our work study program?
Yes
Not at this time
Other:
Clear selection
Anything else we should know?
Your answer
Thank you!
We appreciate you taking the time to submit this application. You may contact programs@localmotionproject.org with any questions about this application.
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