Student's Name *

First Name

Last Name

Students Date of Birth *

MM

DD

YYYY

Parent, Guardian, or Caretaker's Name *

First Name

Last Name

Caretaker's Phone Number *

(###)

###

####

To which program will tuition assistance be applied? *

Kickstart (4-6) $250

Boost (7-9) $375

Amplify (10-12) $435

Headliner (13-18). $435

How much can you pay toward tuition? *

50% of the total tuition

25% of the total tuition

$0 - I am requesting 100% tuition assistance

Would you be interested in providing volunteer service for OGR in exchange for partial tuition assistance?

If yes, select all that you're open to

Representing OGR at a summer community event

Providing behind-the-scenes support at a summer showcase

Moving instruments and gear this summer

Hosting a friend-raising or get-to-know-you event for OGR

No, I'm not interested

Other