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Zestful Balance Wellness Scholarship Application

Full Name

Phone *

Email *

Age

Preferred Method of Contact

Phone

Text

Email

Why are you interested in receiving a Zestful Balance Wellness Scholarship?

What wellness goals would you like to achieve during your scholarship?

Physical Fitness

Weight Management

Mental Wellness

Stress Reduction

Recovery Support

Building Healthy Habits

Social Connection

Personal Growth

How would this scholarship benefit you?

Services You Are Interested In

Gym Access

Personal Training

Yoga

Zumba

Line Dancing

Riot Dance Fitness

Journaling

Poetry & Creative Expression

Individual Therapy

Group Therapy

Wellness Workshops

Mindfulness Activities

Additional Comments

Is there anything else you would like us to know?

ZESTFUL BALANCE

Wellness & Empowerment Center

102 Oneida, Pueblo CO

Steps from Pueblo's Riverwalk

CONNECT WITH US

CONTACT US

719--513-3737

[email protected]

HOURS

MON-FRI: 7:00 AM - 7:00 PM

SATURDAY: 9:00 AM - 2:00 PM

SUNDAY: CLOSED