La Canada High School Music Program
Financial Assistance Form
Please submit one form per family. The information will be kept confidential and will only be seen by Mr. Stone and shared with the MPA Executive Board.
Parent's Contact Email *
Student Name (Last, First) *
If multiple students, enter Last, Child #1, Child #2, etc.
Parent Name *
Programs Planning to Enroll for the Year *
Please explain why you need financial assistance *
Method of Assistance Desired *
Clarify the above responses if needed
Electronic Signature
By clicking submit, you are giving your electronic signature and are agreeing that the information given is true and accurate.
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