CircEsteem: Scholarship & Sliding Scale Application
CircEsteem strives to make circus available to all students regardless of financial means. To serve this mission, we offer Scholarships and Sliding scale tuition to eligible participants.

In order to qualify for scholarship or sliding scale, PLEASE SUBMIT YOUR MOST RECENT TAX RETURN to arin@circesteem.org after you submit this application.

Families will be notified within 1 week if their requests have been approved. Once approved, CircEsteem will process the request and enroll your student in available classes.

Parent Name *
Your answer
Student Name *
Your answer
Parent Email *
Your answer
Summer Camp Choices
Please list your top choices for weeks your child(ren) wish to attend Summer Camp. We will try to accommodate all requests, but cannot guarantee a spot.

For more info about Summer Circus Camp, visit
http://circesteem.org/services/summer-camp-2017/

1st choice dates (Example June 26-June 30) *
Your answer
2nd choice dates *
Your answer
3rd choice dates
Your answer
4th choice dates
Your answer
5th choice dates
Your answer
How many week-long sessions of camp would your child like to enroll in? *
Your answer
Household Income (before taxes) in 2016 *
Your answer
Household Size: How many adults? *
Your answer
Household Size: How many children? *
Your answer
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