Play-Building for Rural Youth
The following is an application for youth aged 8 - 12 to be considered to be part of Ship's Company Theatre's Play-Building for Rural Youth program. This free program is limited in its capacity for participants and the completion of this application does not guarantee participation for the applicant. Ship's Company Theatre will notify applicants of the results soon after the deadline date.

This program is supported by the Emergency Community Support Fund from the Government of Canada and is meant to provide arts programming for rural youth, including ones who could otherwise not afford it. In addition, youth from marginalized communities including racialized communities, persons with disabilities, and the Queer community are encouraged to apply. For this reason, this form includes self-identifying questions to help us better serve our community and the variety of demographics within it.
Email address *
Parent or Guardian ( First and Last Name ) *
Primary Phone Number *
Note on confidentiality and Median Household Income
The purpose of this program is to provide rural youth opportunities for learning and growth through theatre activities that they may otherwise be unable to attend. We ask for median household income to help ensure participants are meeting the mandate of our program.

This information and all other information contained within this application will be kept confidential and is only necessary for the proper administration of this program by Ship's Company Theatre and its staff.
Median Household Income (Before Tax) *
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