Youth Education - Discount Request - Hult Center for Healthy Living

Please complete the form below to submit a request for discounted programs and services. Please note that discounts are provided by funds received from grants and donors and are limited. To make a donation to our youth programs please click here.

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

School / Agency*

Contact Name*

First Last

Contact Email*

Contact Phone*

What percent low-income population does your agency/school serve? Note, public schools can access this information via the Illinois State Report Card.*

Hult Center prioritizes discounts based on the number of low-incomes families served. Please indicate your need for discounted youth programming.*

Are there specific programs/services you are looking for? Please be as specific as possible.*

Finally, please tell us the grades/number of students you are seeking services for.*

Youth Education – Discount Request