The Dairy Barn Arts Center Class/Workshop Youth Scholarship Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Scholarships are available for students under age 18 who would like to participate in classes and workshops at The Dairy Barn, but require financial assistance. Parents and guardians, please fill out this form and the Education Director will follow-up with more information.

Your First Name *

Your Last Name *

Phone Number
(Please double check your response for accuracy) *

Email Address
(Please double check your response for accuracy)
*

What is your preferred method by which to contact you? *

Phone

Which current class/workshop is your child or children interested in?
(If you have more than one child interested in different classes, please fill out a separate request form for each. If you have more than one child interested in the same class, you may fill out just this singular form.) *

A203 Pottery I: Intro to Wheel Throwing (ages 16-17)

A204 Pottery II: Garden Pots (ages 16-17)

B346 Painting Open Studio Workshop on July 8 (ages 16-17)

B347 Painting Open Studio Workshop on July 15 (ages 16-17)

B348 Flameworked Glass Beads (ages 16-17)

Required

Please enter the name and age of your child (or children) interested in the classes indicated above. *

Scholarship funds are available to applicants based on self-described need. The Dairy Barn does not collect financial information. By checking the box below, you attest to the accuracy of this statement: "Without financial assistance, my child(ren) would not be able to attend a Winter Session class or workshop at The Dairy Barn." *

I do attest to the statement above.

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of dairybarn.org. Report Abuse

Forms