TBM Program Scholarships

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 Jazz Improvisation Instrument Exploration

Child's Name *

First

Last

Age *

Gender *

Parent/Guardian Name *

First

Last

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 *

Submit