Peninsula Music Together Scholarship Form
Thank you for taking the time to fill out our scholarship form! We are excited to support you in joining our classes, so that we can share the joy of family music with you and your children. 

Once your application is received, we will reach out to you with a response and a personalized scholarship code that will allow you to register for classes with your special rate on our website.

***Please note that scholarships awarded from this application will only apply to the current semester. You will need to re-apply during open enrollment for the next semester if you are still in need of a scholarship.***
Email *
Do you already have an account with us? *
Are you a current scholarship recipient?

If so, we still ask that you fill out the form once again and provide us with your updated needs.
 *
Grownup Name(s): *
Phone Number: *
Email: *
In order to award you a scholarship, we will be adding your scholarship amount as a credit on your Peninsula Music Together account.

If the email you used to create the account on our Family Portal is different from the email above, please put it below. If it is the same, put NA.
 *
Street Address: *
Second Address (Unit/Apartment Number):
City: *
State: *
Zip Code: *
Child 1 Name: *
Child 1 Date of Birth: *
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Child 2 Name:
Child 2 Date of Birth:
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DD
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YYYY
Child 3 Name:
Child 3 Date of Birth:
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/
DD
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YYYY
Have you attended a drop-in class with us before? *
Have you enrolled in a full semester with us in the past? *
How did you hear about our program? This really helps us know how to reach more families! *
Our mission is to create a space to share the joy of family music together. We know that our program makes the world a better place by making it more musical. What do you hope to get out of our classes? *
Do you consider yourself musical? We accept all levels of musicality, we just like to know! *
Do you play any instruments? If so, which ones? Voice counts! *
What day of the week works for you? (check all that apply) *
Required
What is your preferred class time? *
What is your preferred location? (check all that apply)

Scholarships are available for the Foster City, San Mateo, Burlingame and Millbrae locations.


 *
Required
Who will be attending class with your child? *
If someone other than you will be attending class with your child, please put their name below. 

If you will be attending, put NA.
 *
To better assist all families with their financial need, we are asking how much you can afford to pay per class. Our class rate is $31 per class ($32 per class in Millbrae), and $26.35 per first sibling. We do not charge for a 3rd registrant. We also have a twin rate of $23.25 per child. 

From $0-$31(or $32), please tell us how much can you afford to pay per class:
 *
If you can afford the full $31 class rate for your first child, but need assistance for a sibling or multiple:

From $0-$23.25 for a twin, or $0-$26.35 for a sibling, please tell us how much you can afford to pay per class:
Are you on any type of government assistance? Please note that you do not have to be receiving benefits to qualify for our scholarships! *
While this is not a requirement, we occasionally need volunteers at festivals, instrument cleaning days, informational booths, and other opportunities. Are you able to volunteer 1-2 hours of your time per semester to help get the word out about our awesome program?

If you can't volunteer, the greatest assistance we can get is a Google or YELP review!
 *
A copy of your responses will be emailed to .
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