Financial Aid Form Program Applied for*Theatre in a Trunk - Tales with ScalesTheatre in a Trunk - Puppetpalooza!Disney's 101 Dalmations KIDSMagic Tree House: Pirates Past Noon KIDSDisney's My Son Pinocchio JRDisney's The Little Mermaid JRDisney's Peter Pan JRFreaky Friday: One-Act EditionDisney's High School Musical 2 JRA Chorus Line - High School EditionHold Shift Key to select multiple ProgramsRequested Amount of Assistance*Student's Name* First Last Email* Student's Date of Birth* Student's Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Day Phone*Evening Phone*Parent/ Legal Guardian* First Last Additional Parent/ Legal Guardian (If applicable) First Last Ethnic DemographicBlack or African AmericanAsian American or Pacific IslanderNative American or American IndianCaucasianHispanic or LatinoOther(Information is used for grant reporting only and will not be included in registration)In the student's own words: Please tell us why you want to take this program*Please check all that apply* Student is part of the Free Lunch program at School. Student is part of the Reduced Lunch program at School. Student is not in school or home schooled OR Student does not receive lunch assistance. Total income from all sources to support household over the past 12 months*Number of Adults in the household*Number of Children in the Household*I Verify* that the information I have given is accurate and correct to the best of my knowledge. I agree to pay the balance of the program tuition after any financial aid is awarded. I also understand that students are expected to attend each program session and that I am responsible for the student's transportation to and from PAA.