Revival Productions Camp Scholarship Application
2021 Summer Camps
Thank you for your interest in applying for an income-driven tuition scholarship!
Scholarships are provided on a first come, first serve basis. You will be asked to provide your most recent Form 1040 (2019 or 2020), two most recent pay stubs, and a photo ID. NOTE: All sensitive information is thoroughly secured. Yours and your child(ren)'s safety is of the utmost importance to us. If you have questions, please contact firstname.lastname@example.org or call 610-455-4300. Upon submission, you will receive an e-mail with 48 hrs. about next steps. It has been affordably priced to accommodate as many people as possible. It is still eligible for the 10% multi-camp discount.
Street Address Line 2
State / Province
Postal / Zip Code
Name(s) of Participants and Ages (separated by comma, as such) i.e. Joe Smith (7), Judy Smith (9)
In which municipality do participant(s) reside?
Which camp(s) are you interested in?
Seussical Kids, 1st through 6th
Fame Jr. 7th through 12th
Broadway Bound 1st through 6th
Teen Dance Intensive, 6th through 12th
Auditions: Prep and Technique, 7th through 12th
Storybook Theatre: Preschool Camp, 3 years old through 6 years old (must be potty trained)
Revival ROCKS, 7th-12th
Elementary Dance Camp 1st-5th
DJ Camp, 6th-12th
STEP Camp, 4th-9th
Tech Camp, 7th-12th
Piano Institute, 7th-12th
Vocal Institute, 7th-12th
Jazz Institute, 7th-12th
Strings Institute, 7th-12th
Which ethnicities/race(s) do participants identify as? (This information does not change the outcome of scholarship. It is simply for grant reporting and to ensure that as an organization, we are fulfilling our dedication to diversity)-please check all that apply
American Indian/Alaska Native
Black or African American
Hispanic or Latino
Native Hawaiian or Pacific Islander
Prefer Not to Answer
Please submit your most recent FORM 1040 (2019 or 2020)
Please submit two most recent pay stubs (can be photos/scanned images)
Please submit a photo ID
All information provided is in the effort to obtain an income-driven tuition scholarship. Upon contact from a Revival Productions representative and confirmation of impending payments/personal coupon code, the full remaining balance (if there is one) will be due with formal registration within 7 days of e-mail response/coupon code receipt. After 7 days, the scholarship opportunity will be passed on to the next eligible participant, as this is a "first come, first serve" limited program. Filling out this form does not automatically grant you a scholarship, but provides necessary information toward the next step. All payments are non-refundable. By e-signing, you agree to all of the above conditions and certify that all information provided is accurate to the best of your knowledge.
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