Women In Motion Application

Application Form

Please download and have your doctor fill out the Physician Consent Form, then scan and upload it in the appropriate field on the application form.  It is not required for the application, but you will need to provide it before participation in Women in Motion begins. You may also email the completed form to  Payments will be accepted January 3 – 31, 2018 via PayPal, cash or check.

New WIM Scholarship!

WIM is happy to offer our first ever financial need-based scholarship that will cover 100% of the cost for full participation in the Women in Motion program for the 2018 season.  Applications will be accepted until January 8, and the scholarship recipient will be notified and announced on January 11.

Scholarship Application for Women In Motion

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