Summer Financial Aid Application — KidsArts

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Summer and Vacation Financial Aid Application Form

Child's Name *

First Name

Last Name

Email *

Date of Birth *

MM

DD

YYYY

Grade *

School *

Gender *

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Information

Relationship to Child *

Email *

Phone *

(###)

###

####

Employer *

Position *

Annual Income *

$

Additional Parent/Guardian

First Name

Last Name

Relationship to Child

Email

Phone

(###)

###

####

Employer

Position

Annual Income

$

Secondary Income

(e.g. other earnings from work, investment or rental income, child support, TAFDC or EAEDC, Social Security)

Number of Parents Living at Home *

Please list your dependents with their name, age and your relationship to them *

Other Information

How much can you contribute weekly to the cost of the program? *

Per Week. Please include a specific dollar amount

$

In order for us to better understand your situation, please give a brief description of your financial need

(unemployment, underemployment, excessive medical costs, or any emotional, physical, and/or environmental information which is relevant

Please describe why your child wants to attend KidsArts. Tell us your favorite activities and how you believe KidsArts would enrich their life *

Are you applying for extended day (6pm pickup)?

Which session/sessions are you applying for? *

Session 1: July 6-10

Session 2: July 13-17

Session 3: July 20-24

Session 4: July 27-31

Session 5: Aug 3-7

Session 6: August 10-14

Session 7: August 17-21

Session 8: August 24-28

February Vacation 2020

April Vacation 2020

Thank you for submitting your application! Please also send a copy of your most recent tax returns to info@jpkidsarts.org. This is the 1040 form. Paystubs and W2's will not be accepted. (Accepted files, png, jpg, gif, pdf). We will get back to you as soon as possible.