Ra Messu-t Starter Strings Registration

Student Information

Student Name(Required)

Email(Required)

What string instrument are you interested in?(Required)

Experience(Required)

I have never played an instrument before.

I have not played a string instrument before, but I have played a different instrument.

I have played a string instrument before.

Do you have access to an instrument?(Required)

Yes, I have an instrument.

No, I need a new instrument.

Parent / Guardian 1 Information

Guardian 1 Name(Required)

First Last

Guardian 1 Email(Required)

Guardian 1 Phone(Required)

Guardian 1 Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent / Guardian 2 Information

Guardian 2 Name

First Last

Guardian 2 Email

Guardian 2 Phone

Guardian 2 Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please select the payment schedule you would like to arrange for tuition this season.(Required)

Pay in full at the beginning of the season

I would like to apply for financial assistance for the 2023-2024 Season.

Community Starter Strings Tuition: $150

Financial Aid Application

Please list all students you are applying for financial aid for. All applicants can expect strict confidentiality regarding all sensitive information provided, committee discussions, and award results. Supporting documents are not required for this application but may be requested after submission.

Student #1 Name(Required)

First Last

Student #2 Name

First Last

Student #3 Name

First Last

Amount of assistance requested(Required)

Community Starter Strings Tuition: $350

What was your Household Adjusted Gross Income for 2023? (Line 11 of the 1040 Form)(Required)

Parent / Guardian 1 Occupation & Employer(Required)

Parent / Guardian 2 Occupation & Employer

Number of dependents living at home(Required)

NOT including parents, head(s) of household, or full time college students:

Number of dependents who are full time college students this year:(Required)

Is this a single parent household?(Required)

Yes

No

Do you receive child support?(Required)

Yes

No

Please provide any extenuating circumstances regarding your family's financial situation of which the Financial Assistance Awards Committee should be aware.

By typing my name below, I certify that to the best of my knowledge all information provided is accurate and complete. Parent/guardian signature:

Student / Guardian Agreement

Media consent(Required)

I give consent for media use involving video, audio, and photography.

I do NOT give consent for media use involving video, audio, and photography.

Parent Signature(Required)

(by typing their name below, parent is providing an e-signature signifying their agreement with the above checked statement)

Do you have a friend or acquaintance who might be interested in joining HPYS?

(Name and contact information)

2024-25 Ra Messu-t Starter Strings

Student Information

Student Information Continued

Student #2 Information

Student #3 Information

Parent / Guardian 1 Information

Parent / Guardian 2 Information

Financial Aid Application

Student / Guardian Agreement