By submitting this scholarship application form, you acknowledge and agree to the following terms and conditions:

1. Consent to Share Story: If selected as a scholarship recipient, you grant permission for your story and experiences to be shared publicly as a testimonial, including but not limited to, use on websites, social media, and promotional materials. Your personal information will be protected in accordance with applicable privacy laws.

2. Commitment to Attend Scheduled Appointments: You commit to attending all scheduled appointments as part of the scholarship program. Consistent participation is crucial to the success of the treatment plan, and failure to attend may result in forfeiture of the scholarship.

3. Responsibility for Lab Expenses: You agree to be responsible for covering all necessary lab expenses associated with your treatment. This can be done either through your insurance or by utilizing a discounted cash pay lab option. It is your responsibility to ensure these costs are met promptly.

4. Agreement to Follow Treatment Plan: You agree to follow the prescribed treatment plan as outlined by your healthcare provider. Adherence to the treatment plan is essential for achieving the desired outcomes, and failure to comply may impact your eligibility to continue in the scholarship program.

By submitting this form, you confirm that you have read, understood, and agree to the above terms and conditions.