Sliding Scale application - Legends Karate

Step 1 of 5 Student & Contact Info

Student & Contact Information

Please provide accurate details for the student and primary contact.

Student Full Name *

Date of Birth *

Program / Class *

Parent/Guardian Full Name *

Relationship to Student *

Phone Number *

Email Address *

Home Address *

City *

State *

Zip *

Preferred Contact Method *

Phone Email Text

Household Information

Include all people living in your home who share income and expenses.

Total Household Size *

#	Name *	Relationship	Age

Household Income

Report total gross annual income from ALL sources for ALL adults in the household.

Employment / Wages — Applicant

Employment / Wages — Second Adult

Self-Employment / Business Income

Child Support / Alimony Received

Social Security / SSI / Disability

Unemployment Benefits

Other Income

Total Annual Household Income

Recent hardship or change in income? Describe briefly (optional)

Income Verification & Documents

Please indicate which documents you will submit. You can upload them now or bring them to the office.

Select at least one document type *

Most recent federal tax return (Form 1040) Last 2 pay stubs (all employed adults) W-2 or 1099 from most recent tax year Social Security / SSI / Disability award letter Unemployment determination letter Child support or alimony documentation Self-employment Schedule C or profit/loss statement No income — I will complete a No-Income Self-Attestation form

Upload documents (optional — you may also bring them in person)

Drag & drop files here or browse

PDF, JPG, or PNG — up to 10 MB each

Certification & Submit

Almost done! Please read and sign the certification below before submitting your application.

I certify that all information provided is true and accurate to the best of my knowledge. I understand that providing false information may result in termination of tuition assistance and/or dismissal from the program. I agree to notify Legends Karate LLC of any significant changes in household income or size within 30 days. I understand this application must be renewed annually.

Thank You!

Your application has been submitted. Someone from Legends Karate LLC will review your information and send you the results via your preferred contact method.

If you have documents to drop off or questions, please don't hesitate to contact us.