RLT Scholarship Form for Youth Classes & Camps

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

Please complete one form per student you are requesting assistance for. If you would like to request funds for multiple classes for the same student, please list all class names in that field on the form.

Email *

Student Name: *

Student Grade Level: *

Student's School: *

Parent/Guardian Name: *

Parent/Guardian Phone Number: *

What is the best way for us to contact you? *

Phone

Either

Does your child qualify for free and reduced lunch? *

Yes

Class / Camp Name: *

Please enter the name of the class or camp you would like to register your student for. If applying for assistance for summer camp, please include the camp dates.

Please tell us in 1-2 sentences about your student's interest in the class and what their goals are: *

How much are you able to pay towards the cost of the class? *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Raleigh Little Theatre. Report Abuse

Forms