Financial Aid Application - Asheville Art Museum

We are excited to be able to offer this opportunity to you and your child. To help us address the needs of all participants and provide information to our funders, all answers will be kept confidential. Please fill out the entire form and return it along with a completed registration form and a $15 processing fee for all 1/2-day sessions you would like for your child to attend to: Asheville Art Museum, Learning & Engagement Department, PO Box 1717, Asheville, NC 28802.

Student's Information
Complete application form for one child at a time
Name*
First Last
Grade*
As of today's date; choose one
School*
Home address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian Information
Name*
First Last
Relationship to student*
Email*
Daytime phone*
Other phone
Other Emergency Contact Information
Complete if different from parent/guardian above
Name
First Last
Relationship to student
Daytime phone
Application for Financial Aid
For which educational program would you like to apply for financial aid?*
Indicate one (Summer Art Camp inc. session dates, Youth Studio inc. date/s, etc.)
How many children under 18 currently reside in your household?*
How many adults aged 18 or older currently reside in your household?*
My current total annual combined household income is:*
Choose one
How much can you afford to contribute for your child to participate in this program?*
Choose one
Parent/Guardian Consent and Agreement
Consent for Participation*
I give my consent and approval for the student's participation in the above-named educational programs at the Asheville Art Museum. I hereby authorize medical treatment which may be advised or recommended by an attending physician while my child is participating in the program. I give my child permission to be transported for program activities, and grant permission for him/her to participate in all field trips. I will not hold the Asheville Art Museum responsible in case of accident as a result of participation.
I agree.
Agreement for Transportation*
I will provide transportation for my child to and from the above-named educational program at the Asheville Art Museum.
I agree.
Agreement to Notify*
I will contact the Asheville Art Museum at least one week before the above-named educational program's start date if for any reason my child can no longer participate.
I agree.
Digital signature*
The information that the information I have provided is true and accurate to the best of my knowledge.
I agree.
Phone
This field is for validation purposes and should be left unchanged.

Student's Information

Parent/Guardian Information

Other Emergency Contact Information

Application for Financial Aid

Parent/Guardian Consent and Agreement

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