By registering your school below, you have the opportunity to be included in our Scholarship Program that allows schools to receive the Heart of a Champion program at no cost.

We do ask for a donation to help offset the administration of the program.

Please complete the following fields and click the submit button.

All fields are required.

School Type		Please select one Elementary School: K - 4 Middle School: 5th - 6th Junior High: 7th - 8th High School: 9th - 12th After School Program Community Center Other
School name
Address
City
State
Zip
Telephone
Principal's name
Your e-mail
Your Name
Number of Students to Use the Program
Number of Teachers to Teach the Program

  

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