Scholarship Application

Page 1

A limited number of partial scholarships are made available to students who do not have the financial means to pay the full registration fee.

Question Title

* Parent's Name

Question Title

* Address

Street Address

Street Address 2

City

State

Zip Code

Question Title

* Email Address

Question Title

* Phone Number

Home

Mobile

Work

Question Title

* Child's Name

Question Title

* Child's Age

Question Title

* Amount I am able to contribute towards Summer Intensive:

Question Title

* Reason for requiring financial assistance:

Once this form is submitted, someone from The Pasadena Playhouse will be contacting you about your application.

Submitting this form does not guarantee scholarship approval. Scholarships are given on a need basis.