The Elite Edge Dance Academy and Urban Core Competition & Performance Division 2024 - 2025 Scholarship Application Form
This scholarship application is for all participants wishing help to join the Competition & Performance Division with the completion of this form. You will be responsible for $55.00 per month instead of the $75.00 monthly fee. There will be a discount of $20 towards your monthly membership fee at the Salvation Army Adele and Robert Stern Shield Center. This scholarship is only allotted for one per child. In addition to, this does not include discounts or wavering for production costs.
Date
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Month
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Day
Year
Date
Child's Full Name
*
First Name
Last Name
Child's Full Name
First Name
Last Name
Child's Full Name
First Name
Last Name
Date of Birth
*
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Month
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Day
Year
Date
Scholarship Amount Requested. Please list full amount of program if needed. (This field only allows a $20.00 discount per dancer/drummer)
*
$
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Family Information
Parent 1
Parent Name
*
First Name
Last Name
Home Phone
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Area Code
Phone Number
Work Phone
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2
Parent Name
First Name
Last Name
Home Phone
-
Area Code
Phone Number
Work Phone
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Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other children in family
Siblings
*
Siblings
Siblings
Siblings
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Additional Information
Child's Gender
Male
Female
Monthly Family Income (Gross)
$
Additional Income
Income ($)
Welfare AFDC
Child Support
Support from Spouse
Social Security
Income from 2nd Job
Other
Total Additional Income
Total Monthly Income
Please Explain the Reasons for Need
Submit
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