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Scholarship Request Form
Your Name (First & Last):*
Email Address:*
Address:*
Address (City, State Zip):*
Phone Number:*
For what Event/Program are you requesting a scholarship?*
 Aslan's Pride Kids Club
 Bus Trip
How many Memberships/Tickets would your family need?*
Is there any additional information you would like to provide to us?
All information included in this form is kept in the strictest confidence and no information pertaining to who receives scholarships is released by Inspiration Time, Inc. or WCTL Radio.
Submission of this confidential Scholarship Request Form does not guarantee an award. Scholarships are awarded through prayerful consideration when funds are made available through the generosity of others.


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