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*

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*

Phone

This field is for validation purposes and should be left unchanged.

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Child Details

Bursary Application Form

HOURS

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Bursary Application

Child Details

Bursary Application Form

HOURS