Discounted Pricing Athletic Testing Solutions is committed to ensuring that all children have an equal opportunity to receive the ATS Heart Check, providing valuable insight into their heart health. Discount Request Form Athletic Testing Solutions works in conjunction with charitable organizations to provide discounted pricing on an as needed basis. If you would like to see if you qualify for a reduced price please complete the form below. Parent / Guardian Name* First Last Parent / Guardian Employer*Home Address (must be your current residential address)* Street Address City State ZIP / Postal Code Phone*Email of person applying for financial assistance* Enter Email Confirm Email Total annual household income (round to nearest thousand)*Must include total household income for all individuals included in the residence. Total must include salaries, child support, alimony, unemployment...Family size*12345678+Family size includes current number of dependents for household.# of children requesting financial assistance for?*12345How many children are you hoping to have screened? **If you have more than one child, it is NOT necessary to fill out multiple financial aid requests.Screening Event applying for*Which school or organization are you planning on having your child screened at?Child's Name*Only list children you intend on getting tested First Last Child #2 First Last Child #3 First Last Child #4 First Last Child #5 First Last Additional CommentsIf you have more than 5 children to list, please include in this area. By clicking "Submit" I certify that all information I provided is accurate and complete to the best of my knowledge.