Community Ed Youth Classes Scholarship Application Form
Wayzata Community Ed is committed to offering learning opportunities for everyone in our community. Each family member may receive $100 per school year to support participation.
The criteria to receive scholarship funds are:
- families live in the Wayzata Public Schools boundaries OR children are enrolled in WPS
- demonstrate a financial need to qualify
Child's First Name *
Child's Last Name *
Child's Birth Date *
MM
/
DD
/
YYYY
What school does your child attend? *
Grade your child will complete this school year? *
Child's bus number (for after school classes)
Parent's Name *
Parent Email Address *
Parent Phone Number *
Does your family qualify for the Free and Reduced lunch program? *
If you do not meet the financial eligibility but have an immediate need for assistance, please explain:
What is the program or class for which you would like to register? *
What is the fee for the program or class in which you are interested? *
I understand that photos or videos may be taken during class. I give consent for my child to participate in interviews, photos, videotaping, school/district publications, catalogs, newspaper articles, and local media coverage. I also agree that I and/or my child shall have no legal or economic right, title, or interest in the photos, videotapes, film, publications, or interview content, nor any intellectual property right in these matters, nor may I bring any claim or cause of action for damages or injuries against the District resulting from the gathering or dissemination of these photos, videotapes, film, publications, including interview content. I understand I and/or my child will not receive any monetary compensation from Wayzata Public Schools, ISD 284, nor from media organizations from distribution of these media. I, as parent/guardian, waive the right to preview or approve the finished photographs, video, or publications. *
Thank you for your interest in Wayzata Community Ed. You will be contacted within 3-5 business days regarding the status of your application.
Please call 763-745-5200 with any questions.
Submit
Never submit passwords through Google Forms.
This form was created inside of Wayzata Public Schools. Report Abuse