Financial Assistance Request
Please complete this form to request a payment plan or financial aid. This form must be received no later than two days after the first class.
Student's Name *
Your answer
Class Requested *
Your answer
VPA wishes to allow any student who desires to participate in any of our programs to be able to participate regardless of financial circumstances. It is important to us that students we assist are serious about the commitment they make in the programs we offer. Please keep in mind that we expect all applicants to pay a portion of the tuition.

To help us in assessing the amount of financial aid we can provide or to accommodate delay of payment, we ask you to answer the following questions. After reviewing the information below, VPA may request more detailed information as reported on your taxes. All forms will remain strictly confidential.

Why does your child want to be involved in the above group? *
Your answer
Why are you applying for financial aid or delay of payment? *
Your answer
Are children in this household qualified for Title I federal assistance for free or reduced lunch? *
Please list the amount of tuition due for your child. *
Your answer
Of this amount, how much are you able to pay? *
Your answer
What method of payment and payment dates would you prefer to pay the above amount? *
Your answer
Are you interested in additional volunteer opportunities to receive a tuition discount? If yes, what is your time availability and skills/interests?
Your answer
What other extracurricular activities is your student involved in? *
Your answer
This information is true to the best of my knowledge.

If my child qualifies for financial aid or delay of payment, we commit to be in the group for the entire year (choir/strings) or production (theater) and abide by all policies in the participation agreement. Breaking this agreement may nullify the financial aid offered and/or student’s participation in the group.

Signature *
Please write your full name to acknowledge your understanding and agreement to the above.
Your answer
Email Address *
Your answer
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