Education Membership Subsidy Application 2021-2022

Education Membership Subsidy Application

2021-22 Registration Form
Thank you for your interest in our Education Memberships for virtual workshops. We are able to provide subsidies to qualifying schools and teachers. Teachers in Cincinnati Public Schools automatically qualify. Please take a moment and fill out the following quesitons. If approved, we will send you an email with a code to use when registering for the membership online.

If you have any questions, please email education@cincyplay.com.
School *
School District *
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Name/Teacher Name *
Contact Position/Grade Level Taught
Email Address *
Phone *

Area CodePhone Number
Main Office Phone*

Area CodePhone Number
Grade level(s)*
What percentage of your school's students receive free/reduced lunch?

0%-24%25%-50%51%-70%71%-85%86%-100%
Is your school considered Title I?

YesNo
Comments:
Note: Subsidies are determined by Title I status, free and reduced lunch percentages, and other factors. Subsidies are limited and determined based on need and available funds.
Date

MonthDayYear
Date
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