Covid Financial Scholarships

With the COVID-19 health crisis sweeping across the nation, we know how challenging these coming weeks and months will be for our students and their families. In connection to our unrelenting efforts to support students in need, we are providing financial assistance to those in need during this unprecedented crisis.
Email address *
Who are you applying for a scholarship? *
Are you or your child a current/returning student of ATPC? If yes, What is the name of the student? *
Your answer
Do you have a active package that has been placed on hold?
Is there a particular staff member who has helped you in a significant way during this transition? Please share how:
Your answer
Do you have the financial means to pay $20 for our one-to-one 30 minute class or $60 for a private? *
Is this your first time applying for a scholarship?
This student would like a scholarship for
I understand that work done with Aerial Dance Panama City involves risk. In order to decrease the possibility of accident, I agree to use Aerial Dance Panama City's equipment only under the direction and supervision of Aerial Dance Panama City's personnel. As a prerequisite to participation in any class taught by Aerial Dance Panama City, I hereby waive any and all claims and liability which I may have against Aerial Dance, PC LLC, their directors, officers, agents, subcontractors, suppliers, or other customers for injuries, losses, or death, or any other personal or property damages. This release shall be binding upon my heirs, legatees, administrators, benefactors, and personal representatives. If any part of this agreement is held invalid, the balance thereof shall continue in full legal force and effect. Aerial Dance Panama City reserves the right to exercise discretion in accepting students for classes directed by Aerial Dance Panama City. Students may be denied entrance if, in the professional judgment of the faculty and administration, their participation would pose a danger to themselves or others. I have read this document and understand that it is a full irrevocable release. I also understand all terms and agreements set forth herein. By signing this document I accept all of the above terms.
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy