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Tuition Assistance Registration Form
Please return this application to The Current at least two weeks before the class/camp start date. For any questions, please call, email or stop by in-person.
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* Indicates required question
Student Information
Student Name (First + Last)
*
Your answer
Parent/Guardian Name (First + Last).
Complete only if student is under 18.
Your answer
Mailing Address (Street)
*
Your answer
Mailing Address (City)
*
Your answer
Mailing Address (State)
*
Your answer
Mailing Address (Zip Code)
*
Your answer
Email Address:
*
Your answer
Phone Number (including area code)
*
Your answer
Birthdate.
Complete only if student is under 18
Your answer
Class/Camp Information
Class Name:
*
Your answer
Advertised Tuition for Class:
*
Your answer
Student/Household Contribution Amount.
Suggested amount: 30% of class cost or more/less depending on your financial means.
*
Your answer
How did you hear about this class/camp?
*
Your answer
Household Information
All details will be kept
confidential
. Information will be used, in
aggregate only
, for grant applications so that The Current can continue to access scholarship funds. Thank you for your help. Your participation is optional.
Number of individuals in your household?
Your answer
Household income (select one)
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $64,999
$65,000 to $79,999
$80,000 or above
Clear selection
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