Feeding Your Demons® (FYD)- Financial Assistance Application

Please read the terms and conditions thoroughly before filling out this form.

* If you are submitting this form from a mobile device, please first clear your browser cache.

Name*
First Last
Preferred Pronoun (Optional)
Email*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Today's Date*
MM slash DD slash YYYY
Have you attended a retreat at Tara Mandala in the past?*
Are you applying to a Feeding Your Demons® (FYD) program?*
- Yes
If not, please use this link to continue.
Please select which Program assistance you are applying for:*
Please select which Track you are applying for:*
Please describe why you are applying for a partial scholarship.*
What is your income range annually?*
Full cost of program:*