Mount Horeb Music Parents Association Music Summer Camp Financial Support Application The Mount Horeb Music Parents Association offers financial support to students attending summer music camps, WYSO or Winds of Wisconsin. Awards may be up to 50% tuition with a maximum award of $150.00. Exact amounts are based on the pool of designated funds each year and the number of applicants. (For example, $2500 in designated funds with 50 students applying would yield $50 per student award.) Students must apply for the financial award by October 15. Late applications will not be accepted. Please include some form of confirmation letter or invoice indicating child’s attendance at camp and a copy of a receipt or cancelled check with this application. Applicant's Name (Last, First, Middle) Address (Street, City, Zip) Phone Number Parent/Guardian Name Address (Street, City, Zip) Phone Number School Attending/Attended Grade entering this fall Camp Attended Dates Attended Camp Address (Street, City, Zip) Total Cost for Camp Have you applied for or received any other scholarships Comments: or financial support for this camp? Yes If yes, please explain at right or on back. Check to be made out to: ______________________________________ Signature of Student Applicant No __________________ Date Funds will be mailed by October 31. Return Form To: Mount Horeb Music Parents Association c/o Steve Hall 3065 Mounds View Road Blue Mounds, WI 53517 Updated May, 2009