StartWithHappy_Scholarship

Hello Friend!

We are happy to hear from you. Glad to know the Start With Happy® message has resonated with you and that you desire to come to a seminar. Please fill out the information below for consideration. We have partial scholarships available and hope to be able to help and have you join us soon. There are a limited amount of scholarship funds, submitting an application in advance is encouraged.

Event You Are Applying For

Participant's Full Name *

First Name Last Name

Date Of Birth *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Phone Number *

Area Code Phone Number

Can you receive texts with this number? *

Please share the main reason(s) you are applying for a Start With Happy Scholarship and what about our message resonates with you most.

How did you hear about this Start With Happy Event?

How do you intend to apply the information you learn from this event?

Are you interested in our "Give Happy - Get Happy!” program? Can you and/or your company become a Give Happy Partner who offers help to other Start With Happy participants in the future via volunteer time, inspiration, discounts, scholarship donation, etc? We are open to wonderful ways we can continue to “Give Happy!” Share with us your thoughts.

You hereby agree to indemnify and forever release, discharge and acquit TAMJAMS, including Tamara Squires, Brett Hullinger and/or any of their employees, teachers, independent contractors and agents from any and all claims for damages or injuries of any kind, nature or description, resulting from your participation in the Workshop, including, without limitation, you release TAMJAMS, Tamara Squires, Brett Hullinger and/or any of their employees, teachers, independent contractors or agents from any and all claims for any injury or damage caused by or resulting from the negligence of each of them. You acknowledge and agree that certain types of injuries are common and inherent in fitness-related activities. This release includes but is not limited to that type of injury. As a participant in the TAMJAMS, Inc. event (Workshop), you hereby grant permission to TAMJAMS, Inc. (TAMJAMS) the use of your image in photos and video for advertising purposes. This release shall be binding upon and inure to the beneﬁt of TAMJAMS, their successors, assigns and personal representatives. The undersigned has read and agrees to be bound by the provisions of this indemniﬁcation and release. PLEASE NOTE: NO REFUNDS FOR NO-SHOWS.

Signature *

I have read and agree to be bound by the provisions of this release. I understand I must be over 18 to submit this form.

Comments

Start With Happy Scholarship Application

Tell us about YOU!

Participant Release