Instrument

Newport Jazz Summer Camp Financial Assistance Form
Newport Festivals Foundation and Salve Regina University offer financial assistance to attend the Newport Jazz Summer Camp. Please complete the following form to make your request.

We will review all requests in June to let you know whether or not you have been approved.

If you have any questions, please email info@newportfestivals.org

AFTER COMPLETING THIS FORM, PLEASE ALSO FILL OUT THE CAMP REGISTRATION FORM
Your Information
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Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
Parent/Guardian Phone Number*
Student Name*

First NameLast Name
What instrument do you play? *
What grade are you in?*
Ethnicity
If you would prefer not to say, please enter "Prefer not to say"
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Reference

Please provide contact information for one Educator who can provide a reference for you. This can be a school teacher, private lessons instructor or an afterschool teacher.
Name of Educator*

First NameLast Name
Email of Educator*
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Phone Number of Educator*
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How do you know this person?*
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Newport Jazz Summer Camp Financial Assistance Form