CPAM Financial Assistance Form
Use this form to request financial assistance for payment of participation fees
Actor's Name
*
First Name
Last Name
Show Name
*
Which CPAM show is this submission for?
Parent's Name
*
First Name
Last Name
Parent's Phone Number
*
Please enter a valid phone number.
Parent's Email Address
*
example@example.com
What type of assistance do you require?
*
Payment Plan (example: pay the full fee, broken into payments)
Full Payment Assistance (unable to pay the full fee)
If you selected "Payment Plan", please lay out the proposed plan below:
Include dates of payments or if a single payment is expected.
Include any additional information you want us to know.
What is next?
Once you hit submit, this form will be sent to the President and Treasurer of CPAM. Once reviewed, you will be contacted via the phone number/email address supplied. All information provided is confidential and will not be shared.
Submit
Should be Empty: