GVPAF Reimbursement Form

Greater Victoria Performing Arts Festival Classical Guitar Section Registration Reimbursement Form

For Classical Guitar registrants in Junior Solo, Intermediate Solo, and Senior Solo categories, who have already paid for registration in the GVPAF 2020. Please note that we are able to approve no more than 15 applications for full or partial reimbursement.
All approved reimbursements will be made by cheque after the Classical Guitar Section has taken place on May 1st, 2020.
Student Name *

First Name Last Name
Parent/Legal Guardian (if applicable)

First Name Last Name
E-mail *
Phone Number *

Area Code Phone Number
GVPAF sections the student is registered in: *

Junior Solo piece 1 Junior Solo piece 2 Junior Solo piece 3 Intermediate Solo piece 1 Intermediate Solo piece 2 Intermediate Solo piece 3 Senior Solo piece 1 Senior Solo piece 2 Senior Solo piece 3
Payment to GVPAF receipt number(s) *
Amount requested to be reimbursed *
Personal Statement of Financial Need (please describe why you would like to be reimbursed, 200 words max) *

0/200
All approved reimbursements will be made by cheque. Please provide the name you would like to appear on the cheque. *

First Name Last Name

Mailing address for the cheque to be sent to: *