Britni P Zarin Scholarship Dance Benefit Form
Thank you for participating in our 2nd annual Britni P. Zarin Dance Tuition Scholarship Fund Benefit at Academy Park High School on Saturday November 17 at 2pm with 2 free master classes for ages 12 and up: Contemporary 12pm and African dance at 12:45pm.. We are excited to have you with us this year sharing the joy of dance with special needs, underprivileged and financially disadvantaged dancers in the Tri-State area.

We are excited to offer each dance school who chooses to participate in the dance benefit the opportunity to receive up to a $500 Britni P. Zarin dance scholarship for up to 3 dancers at their school.

We ask that you and your staff nominate at least 3 dancers whom you feel needs financial aid the most. All dancers participating in the benefit who would like to be considered for a scholarship will email an essay to the scholarship committee explaining what dance means to him/her no later than November 1st. Scholarship recipients for each school will be determined by the scholarship committee based on the recommendation of the student and the essay he/she submitted. Please have dancers send all essays to: britnipzarinscholarship@gmail.com

Special needs dancers can be nominated without submitting an essay or performing.

We ask that each school perform two dances in our benefit show with at least one piece (not exceeding 3 minutes) including their dance scholarship nominees. Each dance school is also asked to place a full-page ad in the program with a donation of $25 towards the scholarship fund. Each dancer would be responsible to sell 1 ticket at $20 each and purchase a Scholarship shirt at $20 each. Performers' tickets are $5 each. The scholarship shirt will be worn during the finale of the show at which time the recipients will be announced. We ask that the studio owner or a representative of the school be present for the presentation of the scholarship to their school’s recipient. The studio owner/representative will receive one complimentary ticket to the show.

Academy Park High School is located at 300 Calcon Hook Road in Sharon Hill, PA. All spectators must have a ticket to enter the auditorium.

Feel free to email any questions or concerns you may have at any time to: britnipzarinscholarship@gmail.com.


Thank you!

Britni P. Zarin
Scholarship Committee


Name of Company Participating *
Your answer
Director's / Main Contact Name *
Your answer
Director's / Main Contact Cell # *
Your answer
Director's / Main Contact email *
Your answer
Names of Dancers Nominated for Scholarships *
Your answer
Name of Special Needs Dancers
Your answer
Title of First Piece Performing *
Your answer
Genre of First Piece *
Your answer
Full Names of all Dancers in First Piece *
Your answer
Title of Second Piece (Optional)
Your answer
Genre of Second Piece (Optional)
Your answer
Full Names of Dances in Second Piece (Optional)
Your answer
Scholarship Shirt Sizes Orders @ $20 each Order Amounts 1 through 6
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Scholarship Shirt Sizes Orders @ $20 each Order Amounts 7 through 12
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Scholarship Shirt Sizes Orders @ $20 each Order Amounts 13 through 18
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Adult Medium
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