Theatre LILA Tuition Assistance Form

Please use this form if you are interested in applying for tuition assistance for a Theatre LILA class or course. All information will remain confidential. Tuition assistance spots are limited and typically filled on a first-come, first-served basis.

Participant Name (of Theatre LILA Offering)

Your Name and Relationship to Participant

Phone

What course or summer camp would you like to register for?

Given this household income, for which tuition assistance reduction are you applying?

25% OFF ($ 35,000 - $44,999 Annual Household Income)

50% OFF ($ 25,000 - $34,999 Annual Household Income)

75% OFF ($ 0 - $24,999 Annual Household Income)

After a decision has been made on your tuition assistance, which payment plan do you prefer? (Note: please see the cancellation policy when registering)

pay all tuition up front

pay half of tuition up front and half the first day of class

We may have a limited number of full scholarships available. Are you interested in learning more if this opportunity is funded by donors? (We will email you).

yes

Optional questions or comments