City Center Ballet - Scholarship Application

Scholarship Application

*Required Field

Full Name of Student*

Full Name of Parent*

Email Contact*

Phone Number*

Mailing Address*

Date of Birth*

Dance School Name*

Dance School Address*

Dance School Phone Number*

Dance Program Name*

Tuition Amount for 26-27 Academic Year*

What Does Dance Mean to You (the dancer)?*

City Center Ballet, Inc. • P.O. Box 66 • Lebanon, NH 03766 • 603-448-9710

Page Last Updated: 06/15/26