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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
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Program Requested
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Live It OutLoud
Jazz Improvisation
Instrument Exploration
Child's Name
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First
Last
[object Object]
Age
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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:
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Please describe your financial need:
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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
Facts
Programs
Instrument Exploration Camp
Take 5 Jazz Improv Class
Live It OutLoud Summer Rock Camp
Donate
Current Needs
Request an Instrument
Events
Contact