Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What do you plan to study at Earful of Fiddle Camp?

Dance

Fiddle

Guitar

Banjo

Mandolin

Ukelele

What scholarship(s) are you applying for? Check all that apply.

Susan L. Galloup Memorial Scholarship (covers tuition, room and board for a minor student.

Fate Family Scholarship (covers tuition, room and board for a minor student residing in the Chippewa Hills School district, and room and board for the minor student's parent or guardian)

Algia Mae Hinton Scholarship (covers tuition, room and board for a BIPOC student. Room and board for a parent or guardian will be considered if the BIPOC student is a minor)

Earful/Artful/Heart-Full Scholarship (covers tuition, room and board for a 2SLGBTQIA+ student)