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Take 5 Jazz Improv Class
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Scholarship Application
We are excited that you have chosen to involve us in your child’s desire to play and create music. Please complete the attached application so your child can start on their musical experience.
*
Indicates required field
Date
*
Program Requested
*
Live It OutLoud Rock Camp
Jazz Improvisation Camp
Instrument Exploration Camp
Child's Name
*
First
Last
[object Object]
Age
*
Gender
*
Male
Female
Non-Binary
Parent/Guardian Name
*
First
Last
[object Object]
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Please describe how your child will benefit from their musical experience and what instrument is your child most interested in:
*
Please describe your financial need:
*
How did you hear about the Ted Brown Music Outreach?
*
Signature
*
The above information is true and factual.
Sign your name
*
By typing your name you are asserting that the information is correct to the best of your knowledge.
Submit
Home
About
Staff
Facts
Current Needs
Programs
Music Therapy Groups
Instrument Exploration Camp
Take 5 Jazz Improv Class
Live It OutLoud Summer Rock Camp
Donate
Events
Request an Instrument
Request an Instrument - Beginner
Request an Instrument - Step Up
Scholarships
Summer Camp Scholarships
Music Therapy Scholarship
Contact
Music Therapy
Music Therapy Groups
>
Sprouting Joy
Soothing Sounds
Music Supports: Teens
What We Do
>
Individual Therapy
Online Therapy
Schools
>
On Beat - SEL-Focused Music Therapy
Our Music Therapy Team
Blog
Subscribe e-newsletter