Prelude Chamber Music Financial Assistance Request Form

Scholarship and Tuition Assistance for Prelude Chamber Music

Prelude Chamber Music, Inc. is a 501C3 not-for-profit organization and all donations are tax deductible.
Note: The Financial Aid Committee processes all applications for financial assistance. No application can be processed unless this form is completed and submitted along with the camp registration form. All information will be held in strict confidence. In extreme circumstances, financial assistance may cover the registration deposit. This form has been completed accurately to the best of my knowledge. Please write your name in the space provided and sign.
Full Name of the Requestor*

First NameLast Name
Full Name of Parent/Guardian

First NameLast Name
Full Name of the Student/Participant that will receive the benefit*

First NameLast Name
Contact Phone Number*

Area CodePhone Number
Alternate Phone Number

Area CodePhone Number
Contact Email*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How much assistance do you need? *
How will the family contribute to the cost of the camp tuition?*
Is this request for assistance for one or more children? *
How many children are in the family? *
What is the annual family/household income?*
Is this applicant receiving financial assistance from any other source this year?*
Has the applicant received assistance from Prelude Chamber Music in the past? *
Should be Empty:

Scholarship and Tuition Assistance for Prelude Chamber Music