The Mountain Artists Guild Youth Art Program Scholarship Application

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Funds have been set aside to be used specifically for Youth Art Program scholarships (full and partial). Please complete this form, and our Education & Outreach Coordinator will follow up with you. Note: Completing this application DOES NOT guarantee placement in the program applied for, nor does it guarantee receipt of a scholarship.

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Netfang *

Name of Recipient/s (first, last) *

Age of Recipient/s *

Name of Parent/Guardian (first, last) *

Address *

Primary Phone *

Secondary/Emergency Name & Phone *

Are you a Guild member? *

Yes

What Youth Art program is being applied for? *

Would you like to add another child to this application?

Yes

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