Summer Camp Low Income Qualification Form

Abena Joan Brown Performing Arts Summer Camp 2023 Low Income Verification Form

eta Creative Arts Foundation
Registration April 1 - June 1
Parent/Guardian Information
Name

First NameLast Name
Cell Number
E-mail
example@example.com
We accept children ages 7-13. How many children are you registering?
Do you currently receive any assistance from SNAP or Social Security?

YesNo
Documents Required to qualify for discount tuition must include:
- Photo ID
- One of the following: Award Letter for SNAP or Social Security or LIHEAP.
We will review your information and get back to you regarding your qualification status.
Upload Documents or email them to: info@etacreativearts.org

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Abena Joan Brown Performing Arts Summer Camp 2023 Low Income Verification Form