Classical Ballet Academy

Family Information
Parent/Guardian 1
Parent Name*

First NameLast Name
Preferred Phone #*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2
Parent Name

First NameLast Name
Preferred Phone # (if different)
Email (if different)
example@example.com
Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other children in student's family living at home
Configurable list*

Additional Information
Please check all that apply

Student's Family receives SNAP benefitsStudent's family is experiencing economic hardshipWithout a scholarship, student would be unable to participate in this program
Please explain any additional reasons for need
Please briefly explain what receiving a scholarship would mean to you as a dancer
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