Community Connections Endowment Application
Community Connections is an instructional performing arts endowment program for students ages 8-18 established through a partnership with local community partners. Its purpose is to provide performing arts training, leadership building and to seek out exceptional young residents in Raleigh who demonstrate a genuine passion for the performing arts. You must reside in Raleigh, NC and provide proof of lower income status (ex: school meal letter, 2019 tax return, income assistance information, etc.)
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Applicant's Name *
Date of Birth *
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Age *
How did you hear about the scholarship through Community Connections at Expressions in Rhythm Studio? *
Previous Dance/Drum Experience? *
If you answered yes to previous dance/drum experience, please state where and when.
Class my child would like to take: *
Why you are applying to the Community Connections program? *
Type your answer below
Current school *
Grade for the 2019-2020 School Year *
GPA *
What are your plans after High School? *
This question is for grades 9-12
How do you believe your acceptance into the Community Connections program will help your overall development? *
What do you hope to accomplish through Community Connections at Expressions in Rhythm Studio? *
Parent/Guardian's Name *
Best Contact Number (Please include the area code) *
E-mail Address *
Medical Concerns/Allergies/Disabilities/Other *
I currently reside in Raleigh, NC. *
Please initial below
I have at least a “C” or 2.0 grade point average in school . *
Please initial below
Assumption of Risk & Release of Liability- Please initial below *
I understand and acknowledge there is a risk of injury inherent in activities at the Studio and that personal injury and/or damage to property may result during participation in the Studio classes. I acknowledge that the Student is physically able to safely participate in the classes selected. I give permission for the Student to perform stunts, aerials, lifts or other activities, related to their respective class, at the Studio and in any and all performances. Parent/Guardian agrees to assume all risk associated with the Student's participation in instruction, rehearsal, performance, and related activities. In consideration of receiving instruction at the Studio, I hereby waive, release and discharge the Studio, its officers, directors, employees, agents, successors, sponsors, legal representatives and assigns, from all present and future claims and liabilities of any kind, whether for bodily injury, property damage, or other loss of Student or Parent/Guardian arising out of participation in Studio classes whether conducted on or off Studio premises.
If accepted into Community Connections program, my child will attend a minimum of 90% of their class until June 2020. *
Please initial below
If accepted into Community Connections program, my parent/guardian will pay 50% of monthly tuition fee until June 2020. *
Please initial below
If accepted into Community Connections program, I understand that tuition is auto-drafted from the credit/debit card on file on the first day of each month. There is a $35 declination fee when the credit/debit card on file is declined by your financial institution. Parents/Guardians will receive a three-calendar day grace period to pay the outstanding tuition fee and declination fee (cash only) in order to continue with Expressions in Rhythm Studio. *
Please initial below
If accepted into Community Connections program, my parent/guardian will provide my class attire. *
Please initial below
If accepted into Community Connections program, my parent/guardian agrees to pay applicable costume fees. *
Please initial below
Who helped you complete this application? *
I have read and understand the Endowment Application for Community Connections at Expressions in Rhythm Studio and agree to abide by said policies. *
Please initial below
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