• MT with CCSA Financial Assistance Online Application

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  • Please attach copies of your: (a) 2012 IRS Form 1040 (first page only) and (b) 2012 W-2 Wage statement(s) and/or 2012 Form 1099(s).

  • Please read each item below and enter your initials in the box to signify your agreement.

  • FINANCIAL RESPONSIBILITY - I understand that I will be financially responsible for my family's total registration cost minus any potential Financial Assistance awarded.

  • CANCELLATION PENALTY - I have read and understand the Cancellation Policy outlined on the Music Together with CCSA website. I further understand that, if I withdrawl my family from participation in Music Together with CCSA, any Financial Assistance awarded to my family will be returned to the Organization and will not be considered as part of the amount on account for purposes of refund calculation.

  • Please sign the application. Typing your name in the fields below indicates an electronic signature.

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