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 *
Your answer
Student Name (Last, First) *
If multiple students, enter Last, Child #1, Child #2, etc.
Your answer
Parent Name *
Your answer
Programs Planning to Enroll for the Year *
Required
Please explain why you need financial assistance *
Your answer
Method of Assistance Desired *
Clarify the above responses if needed
Your answer
Electronic Signature
By clicking submit, you are giving your electronic signature and are agreeing that the information given is true and accurate.
Submit
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