Up North Arts, Inc.


K-12 Scholarship
Application
Parent/Guardian Information:
First Name *
Last Name *
Address 1 *
City *
State/Province *
Zip *
Phone *
Email *
Students Information:
Enter Students Name *
Your relationship to child *
Child's age at time of application *
Birth Date of child *	// (mm/dd/yyyy)
Name of class you would like this scholarship applied to *
Briefly state why this scholarship will benefit you and the student *

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