Fall 2024 Scholarship Form

Scholarship Application- Fall 2024

Information contained on this document will be kept confidential.
Scholarship recepients are required to assist in soliciting and providing advertisements for our fall program booklet and may be required to donate 1-2 cases of water to sell during the performance. More information about these requirements will be sent out separately.

If you have questions about this form, please contact the CAST office at info@casttheatre.org or 860.649.5062.
Today's Date:

MonthDayYear
Date
Child Name(s):

First NameLast Name
Child(ren) are participating in:

"Magic Tree House: The Knight at Dawn KIDS""Lionel Bart's Oliver, Jr."
Child lives with:

parent 1parent 2bothguardian
Parent/Guardian Name:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Phone:
Please enter a valid phone number.
Parent/Guardian Email Address:
example@example.com
How much of the CAST registration are you able to pay?
"Magic Tree House: The Knight at Dawn KIDS" is $260.00 per participant "Lionel Bart's Oliver, Jr." is $290.00 per participant
What is the amount of scholarship you are requesting?
Type amount above
Please explain your reason for requesting a scholarship here:
I/We hereby certify that information provided on this form is true and correct.
Parent/Guardian Signature

Clear
Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Scholarship Application- Fall 2024