Holy Rhythm Dance Studio Financial Assistance Scholarship – Dance Studio

Parent Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Phone

Child's Name

First

Last

Child's Age

Child's Name

First

Last

Address Name amount

Child's Age

Proof of Income

To ensure fair consideration for the Holy Rhythm Dance Studio Scholarship, proof of income is required as part of the application process.

What monthly amount are you comfortably able to contribute toward classes?