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Scholarship Assistance for Spring Formal

indicates a required answer

1. *

Parent First and Last Name:
2. *

# of students from your immediate family wanting to attend
3. *

Will not receiving scholarship assistance prevent any of your children from participating?
Yes No
4. *

First Child's Name
5. *

How old is this student?
6. 

Second Child's Name
7. *

How old is this student?
8. 

Third Child's Name
9. *

How old is this student?
10. *

How much are you able to contribute toward the cost of the event? 
11. *

Are you willing to volunteer on the night of the event?

 (1 required)
Yes No
12. *

If you attend a church regularly, please tell us where or indicate N/A.
13. *

If you attend another co-op or private school other than Glen Rose Christian Co-op, please tell us the name of that organization. 
14. *

Please list all family members that live in the same household, their age, and their employer (if applicable).  Please include yourself and your children. 
15. *

Please list all extra-curricular activities your first child is involved in.
16. 

Please list all extra-curricular activities your second child is involved in. 
17. 

Please list all extra-curricular activities your third child is involved in. 
18. *

Please attach a letter from self (Word or PDF are preferred). Please tell why you are in need of financial assistance. 

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