HYPED For Success Booking Form

HYPED FOR SUCCESS BOOKING FORM

Please complete the information and submit to begin the booking process.

Contact Name:

Title:

Email:

Phone:

School:

School Address:

City:

State:

Please select the HYPED for Success program you would like to bring to your school:

Middle School Assembly Program (Cost: $2,500.00):

Bronze Program - 8 Sessions (Cost: $5,000.00):

Silver Program - 12 Sessions (Cost: $7,500.00):

Gold Program - 16 Sessions (Cost: $10,000.00):

Additional Information:

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