Angel Fund Hardship Request Form

Angel Fund Hardship Request
Parent/Guardian Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Student Name*

First NameLast Name
Select section:*

Brass/WoodwindPercussionColor Guard
Grade of Student for Upcoming Band Season*

12 - Senior11 - Junior10 - Sophomore9 - Freshman8 - Middle School
Please briefly explain your need for financial assistance. The information will be kept confidential and will be reviewed by the Band Directors and members of the Executive Board.*
My student qualifies for free/reduced lunch:*

YesNo
I agree to participate in ALL FUNDRAISING efforts to support Stratford Bands and help pay my student's band fees.*

YesNo
I agree to participate in at least 2 VOLUNTEER efforts each year to support Stratford Bands and help pay my student's band fees*

YesNo
Please select all volunteer efforts in which you are willing to participate:

Concessions at home football gamesChaperone (football games, competitions)Prop or Pit Crew for football games/competitionsServe on a Booster Club committeeOther
I attest that the information contained herein is true and accurate to the best of my knowledge. I understand any falsification of any information provided in this form may result in removal of participation from all band activities.

I understand that if my hardship request is approved, any fees remaining after financial assistance are my responsbility and that unpaid band fees may result in denial of participation in prom and graduation for my student.
Signature of Parent/Guardian*

Powered by Jotform SignClear
Date

MonthDayYear
Date
Should be Empty: