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Workshop Sliding Fee Application
(All information is confidential.)
City, , State: , Zip:
Have you taken classes at The Yoga Seed Collective before? Yes No
Please share with us your current yoga practice
What workshop/program would you like to attend? (Please list date, time, and teacher)
Annual Adjusted Gross Income
(As reported on most current federal tax return): $ per year
Check any of the boxes that apply:
I am disabled and my sole income is SSI/disability/workers compensation benefits.
I am a resident of a shelter, halfway house, transitional housing or Section 8 housing.
I am a single parent with full custody of children under 18 and I only work part-time.
Other financial hardship not listed above. Please Specify:
Amount you are able to contribute towards the cost of the workshop/program: $
Please write a short statement giving reasons for your application for aid and why it should be granted.
I certify the information given on this application is true and complete to the best of my knowledge and belief. (Financial aid awards can be withdrawn for incomplete or inaccurate information. A copy of your tax form may be requested during the review process)