Ron Montez Youth Scholarship Application Form

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Name

First

Last

Birthdate

Mailing Address

today's / Name

Email Address

Telephone

All Star Dance Camp Sponsor Name

All Star Dance Camp Sponsor Email

Instructor and Studio Name

Instructor Email

Include a statement of what this scholarship would mean to you

Responsibility

I have read and agree to the below statement.

I understand that RMYS, JBDC, and administrators of these entities are not responsible for transportation, lodging, injury, or illness while I am attending All Star Dance Camp.

Signature

By typing my full name I am agreeing to allow this to serve as my signature.

Age

If this application is being submitted for an applicant below age 21, do you warrant that you are a parental or legal guardian of this individual applicant?

Parent / Legal Guardian

By typing my full name I am confirming that I am a parent or legal guardian and I am agreeing to allow this to serve as my signature.

Please enter today's date