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Financial Assistance Application
Fly Kidz is dedicated on giving all kids the equal opportunity to dance in a professional dance team regardless of their financial situations. All information on this form is confidential.
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* Indicates required question
Email
*
Your email
First & Last Name of Parent / Guardian (Applicant)
*
Your answer
First & Last Name of Child / Children
*
Your answer
Address / City / State
*
Your answer
Phone Number
*
Your answer
Marital Status
*
Single
In a Relationship
Married
Divorced
Total Gross Income on your Last 1040 Federal Tax Form
*
Your answer
Household Size
*
1
2
3
4
5
6+
Do you receive any other financial assistance? (Check all that apply)
*
No
Food Stamps / Supplemental Nutrition Assistance Program (SNAP)
Welfare / Temporary Assistance for Needy Families (TANF)
Transitional Aid to Families with Dependent Children (TAFDC)
Supplemental Security Income (SSI)
Housing Choice Voucher Program (Section 8)
Low-Income Home Energy Assistance Program (LIHEAP)
Unemployment
Required
I certify that all of the information reported on this form is accurate and reflective of my current financial situation and that I will send timely word of any significant change in financial resources.
*
Choose
I agree
I do not agree
If approved, financial assistance will be in effect for (1) calendar year. You must reapply for assistance when it expires.
A copy of your responses will be emailed to the address you provided.
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