Student Name *

First Name

Last Name

Student Birthday *

MM

DD

YYYY

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Financial Need

The following information helps us to determine financial need. Please also submit your most recent tax return in the 'file upload' section of this form.

Our family participates in a government assistance program (SNAP, WIC, Medicaid, etc.)

Our household income falls below 2x the poverty level in NY.

Student Response *

Please check which of the items below your child will be completing (select just ONE and upload your file at the end of this form).

Please write a 200-500 word statement or submit a 1-2 minute video explaining why you want to participate in this theater program.

Please write a 200-500 word statement or submit a 1-2 minute video explaining what you love about theater, singing, and/or dance.

Please write a 200-500 word statement or submit a 1-2 minute where you answer the following question: if you could play any role on stage, what would it be and why?

Optional:

If you'd like, please submit ONE video (1-2 minutes) of your child singing, dancing, and/or acting. Scholarships are based on financial need, not talent, but it is helpful for our staff to see where your child's needs may best be served within our program.

Please check this box if you are submitting a video and upload below.

Terms and Conditions *

By checking the following boxes, I consent that I understand and will abide by the following terms if granted a financial aid package:

I will make sure my child attends classes and rehearsals regularly and abide by PYT's attendance policy.

I will notify the program in advance if my child must miss a session.

I understand that scholarships may be revoked for repeated absences.

I understand that scholarships are determined on a session-by-session basis (school-year session, summer session) and that I must apply for each new session, even if my child has received a scholarship before.