Scholarship Application Please complete the form below in its entirety. Organization Name * Defying Gravity School of Dance Organization Owner * Organization Phone Number * Organization Address * How Long has your Child been with the Organization? * Responsibilities at the Organization Parent's Name * First Name Last Name Student's Name * First Name Last Name Student's Age * Parent's Email * Phone * (###) ### #### Address * Zip Code * Creative Discipline of Child * Dance Music Martial Arts Acting Number of Classes Taken by Child (Average per Month) * Average Monthly Cost * Type of Scholarship Tuition Competition Please provide a brief description of why you would benefit from a scholarship? * (To be answered by a child if possible.) Disclaimer and Signature * I certify that my answers are true and complete to the best of my knowledge. I understand that all monetary awards will be paid directly to the studio owner that is provided. I further confirm that I am 18 years of age or older. If under 18, this form must be completed and signed by a parent or legal guardian. Photo/Media Consent Agreement * The Grete R Bressner Scholarship Fund may take and use photographs, video recordings, or digital images of me/my child for lawful purposes. I understand that these images may be used in publications, promotional materials, websites, and social media platforms connected with the Grete R Bressner Scholarship Fund. I give permission for photographs/videos of me/my child to be used. I do not give permission for photographs/videos of me/my child to be used. Thank you! Your submission has been received. Please allow some time for our team to review your application. You will be notified once the status of your application has been determined for this quarter.