Individual Scholarship Interest Session Registration-The Backstage Foundation

INDIVIDUAL SCHOLARSHIP INTEREST SESSION REGISTRATION

The Backstage Foundation
To Be Eligible For 2026 Individual Scholarship Applications ~ An Interest Session Must Be Registered For & Attended.
Please Choose an Interest Session Date:

Sunday November 2, 2025: 2:00 PM to 3:00PMSaturday December 6, 2025: 2:00 PM to 3:00 PM
Registrant's Information
First Name*
Last Name*
Age at the time of filling out this form:*
Phone Number*
E-mail :*
Parent/Guardian email address if under 18 yrs. old
City of Residence*
Name of Dance Studio*
Parent/Guardian's Information:

If Under 18 Years Old
Parent/Guardian's First Name
Parent/Guardian's Last Name
Parent/Guardian's Phone Number
Parent/Guardian's Email
Signatures:

PLEASE NOTE: All registrants aged 16 years old and older are required to sign the Scholarship Interest Session Registration. A parent/guardian’s signature is also required for all recipients under the age of 18 years old.
Yes, I understand I must attend the Session I registered for in order to be eligible for 2026 Individual Scholarship Applications.
Registrant's Signature (16 yrs. old and older)*

Clear
Parent/Guardian's Signature (if under 18 years old)

Clear
The Backstage Foundation is committed to equal opportunity in employment and education. The Foundation does not discriminate in any program or activity on the basis of race, color, religion, sex, gender, sexual orientation, gender identity, age, national origin, disability, marital status, or any other protected class.
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INDIVIDUAL SCHOLARSHIP INTEREST SESSION REGISTRATION

To Be Eligible For 2026 Individual Scholarship Applications ~ An Interest Session Must Be Registered For & Attended.

Registrant's Information

Parent/Guardian's Information:

Signatures: