Bursary Application

Program Name (and specify week, if applicable)*
Please enter the full name of the Program you are applying for, and enter the specific week (if applicable)
Child Details
Name of child*
First Last
Date of birth*
Date Format: MM slash DD slash YYYY
Parent/guardian*
First Last
Address*
Address Postal Code
Telephone
Cell
Email*
Bursary Application Form
Gross household income from your most recent tax return*
How much financial support do you request?*
We offer 50% and 100% bursaries.
Explain why you require a bursary*
How will this program benefit your child?*
Please tell us why you want to attend this program (to be completed by child)*
Declaration
I declare that all information given above is true and complete in every respect; that I have answered all questions on this form, and that the bursary is essential to my child attending the art program.
Signature*
Date*
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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