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Emerald Theatre Scholarship Application
Summer Theatre Camp
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* Indicates required question
Email
*
Your email
Camp Session
*
July 1-12, 2024
Student First Name
*
Your answer
Student Last Name
*
Your answer
Camper Birthdate
*
MM
/
DD
/
YYYY
Camper Age
*
Your answer
Grade Camper is entering in the fall
*
6th
7th
8th
9th
Student School District
*
Your answer
School Name
*
Your answer
Primary Parent/Guardian Name
*
Your answer
Best Contact Phone
*
Your answer
Address
*
Your answer
Other Parent/Guardian Name
Your answer
Address
Your answer
Phone
Your answer
Email
Your answer
Below, explain your reason for asking for scholarship
*
income
hardship
medical
other
Required
If other, explain below
Your answer
Is Camper on the USDA Free and Reduced Lunch Program during the school year?
*
Yes
No
Based off the chart below, my family qualifies for the following scholarship percentage off tuition
25%
50%
75%
Clear selection
Please add any other information that will help us determine more or less of a scholarship award.
Your answer
Signature
*
Your answer
Submit
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