Summer Camp Tuition Assistance Application

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Fields marked with an * are required

Part 1: Main Contact

Parent/Guardian 1 Name *

Cell Phone (if applicable)

Work Phone (if applicable)

Address *

City *

County *

Zip / Post Code *

Email *

Best way to contact this person (cell, email, etc.) *

Number of people in household *

Number of dependent children *

Parent/Guardian 2 (if applicable)

If not applicable, please skip to Part 2

Parent Guardian 2 Name

Cell Phone (if applicable)

Work Phone (if applicable)

Address

City

County

Zip / Post Code

Best way to contact this person

Camp Questions

Emergency Contact Name *

Emergency Contact Phone Number *

Insurance Provider Name (if applicable)

Insurance Provider Phone Number (if applicable)

Known Allergies

Medications (if applicable)

Instrument (if applicable)

Tuition Assistance Guidelines and Policies

Upon completion of the tuition assistance application, you will be notified of your award within a week. Please be sure to include all information, including financials. A student currently on tuition assistance who wishes to continue from one session to the next will contact Brennalynn Flaherty at bren@swallowhillmusic.org or 303-643-5804. This ensures that the Tuition Assistance Committee is informed of their intent within a timely manner. Tuition assistance awards vary depending on financial and personal situations. The remaining balance will remain on the student account as an invoice. This invoice is to be paid by the end of the camp. Students must be respectful, engaged, and motivated while in the camp. Instructors and staff will communicate behavior issues. If these issues continue, the tuition assistance will be forfeited. In order to meet the expectations of the class, students will be expected to do their part in practicing the material for the week. We typically suggest 15 minutes daily.

Within two weeks of completion of your or your child's course or camp, please e-mail Brennalynn Flaherty with a short paragraph on your/your child's musical experience and what the scholarship opportunity meant to you and/or your family. Please note if we may use you/your child's first name or if you prefer to be anonymous. Testimonials will be used in Swallow Hill Music's online and print publications. In addition, photos are appreciated and may be used in online or print publications. *

Permission to use name
Anonymous

Thank you for completing this application. Please expect to hear back from us within one week of your submission! Thanks!