GPHS Band Boosters Financial Assistance Request

GPHS Band Boosters Financial Assistance Request
The GPHS band boosters provide a limited number of need based scholarships for Band Camp fees, Concert Attire costs, and required Field Trip fees associated with the student’s band class (this does not include optional “fun” trips during the school year to Silverwood, Disney, etc.).

All families involved with band are asked to participate through supporting fundraising activities and through volunteering to assist in various events. This involvement allows the booster club to continue to provide financial aid when needed and helps to sustain a high quality band program at Glacier Peak.

If your student is awarded financial assistance, we require that someone in the family, (Student or Parent/Guardian), must sign up to volunteer their time at 2 separate band booster events during that school year. This does NOT include donating items.

The assistance will be based on:
- A complete application form
- The approval from a minimum of two board members of the GPHS Booster Club
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Home Number*
Parent/Guardian Cell Number*
Parent/Guardian Email*
This is where we will send booster related emails to. If you would like these communications to be sent to multiple addresses, please separate entries with a comma. Please add gphsbandboosters@gmail.com to your safe senders list.
Student Information
Student Name*

First NameLast Name
Current Grade Level*
For 2022-2023 school year
Current Band Class(es) - (Check all that Apply):*

Grizzly BandColor GuardConcert BandSymphonic BandWind EnsemblePercussion Ensemble
Scholarship Information
Brief description of event the funds are needed for:
i.e. Grizzly Band Fees, Field Trip Name, Concert Uniform, etc.
Cost of the event:
Are you able to pay any percentage of these funds?*

YesNo
If Yes, what amount can you contribute?
Total Amount Requested:*
Authorization*

By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Signature*

Clear
Use touch screen, smart pen or mouse to sign your name on the line above.
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GPHS Band Boosters Financial Assistance Request

Parent/Guardian Information

Student Information

Scholarship Information