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Sign In
My Account
Cart
0
ABOUT US
Locations
Our Program
Our Mission
Our Story
Staff & Board of Directors
GET INVOLVED
Get X2F in my Community
Get X2F at my School
Volunteer
Connect
COACHES
GIVE
GEAR
Empowering Dreamchasers
X2F Chicago Scholarship Request Form
Parent/Guardian Name
*
Parent/Guardian Name
First Name
Last Name
Email Address
*
Phone
Phone
(###)
###
####
Child's Name
*
Child's Name
First Name
Last Name
School
*
Have you received a scholarship before?
*
Yes
No
Scholarship Need
*
Scholarships are limited, but we will do everything we can to accommodate your needs. In order to do so, please let us know what level of financial assistance you need and we'll get back to you shortly with what we have available.
I need the price discounted to a $100 fee.
I need the price discounted to a $75 fee.
I need the price discounted to a $50 fee.
I need the price discounted to a $30 fee.
I am unable to pay and need a full scholarship.
I need to break up my payment over several installments.
Additional Information
*
Please share as much as you're willing about your scholarship need and any details needed, such as if you need to pay over several installments what will work best for you.
Thank you!