Child Impact Program
Discount Eligibility Request
Please complete the form in it’s entirety and then submit.
Once the financials are reviewed, you will receive a phone call to discuss the outcome and next steps.
Submission of this form DOES NOT automatically register you for a Child Impact Class.
Your information will be reviewed against income guidelines to determine if you qualify for assistance. After a review is conducted, you will receive an email from firstname.lastname@example.org advising you of the findings, with instructions as to how to register for the course with any application tuition assistance.