Financial Information

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* 1. Student Name

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* 2. Does this student have a sibling also interested in Starz this summer

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* 3. Has this student or a sibling attended Pistarckle Starz camp before?

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* 4. Number of people (adults and children) living in the student's household

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* 5. What is your Total Household Income before taxes (from all sources)

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* 6. I am interested in seeing if my student qualifies for a Starz Financial Aide       Scholarship

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* 7. If my student is selected for a possible scholarship, I understand that I must  complete additional forms and verifications in a timely manner
and that I must be able to show income tax statements and/or other 
allowable documents that validate household income level.

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* 8. Are you or your students receiving any of the following: (Check all that apply)

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* 9. I agree that I must pay a $25.00 registration fee in order to hold my
place for a spot at Starz Camp and to be considered for a financial aide
scholarship. I understand/agree that this fee is non-refundable. 

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* 10. What is your preferred method of contact in order to send/receive additional documents and information

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