Scholarship Form - Garth Fagan Dance Spring 2023
If you are in need of a partial scholarship to assist in Spring 2023 tuition, please fill out the below form. You will receive an email response with your scholarship status.
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Email *
Student Name *
Student age *
Parent/Guardian Name (if under 18)
Relationship to Student 
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Permanent Address  *
Primary Phone Number  *
Secondary Phone Number (Work or Other) 
Preferred Emergency Contact #1 (Name and Phone Number) *
Preferred Emergency Contact #2 (Name and Phone Number)
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