Speech and Feeding Therapy

Redirecting you to a secure payment page…

Speech and Feeding Therapy Scholarship Application

Account Registration

First Name *

Last Name *

Phone 1

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Data Privacy & Consent

Yes, I would like to receive text messages from Team Iron Will.

Create an account to save your information and access our online portal!

Password

Retype Password

Child's Full Name

Why are you requesting a scholarship? *

Please be as specific as possible with your situation.

How much are you able to contribute toward the cost of the class? *

We are trying to help as many families as possible so if you able to contribute anything it would be most helpful.

Have you received previous assistance from Team Iron Will? *

Yes

If yes, can you please share how you've been helped by Team Iron Will?

Have an account? Log in

Secure Payment

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.