Name * First Name Last Name Participant's Name (if different) First Name Last Name Participant's Age (if minor) Participant's Gender * Non-Binary Female Male Prefer Not to Answer Preferred Pronouns * Program applying for: * Crow Comedy Camp (ages 7-12) Comedy School For Kids (ages 8 - 12) Teen Stand-Up Class (ages 13 - 17) Stand-Up 101 (adults) Stand-Up 201 (adults) Race: Please check all that apply * African American or Black Asian / Pacific Islander Caucasian Hispanic or Latino Middle Eastern Native American or Alaskan Native Decline to State Other Personal Essay by Participant or Guardian of Participant * Write a personal essay telling us about you or your child (400 - 600 words). Why do you think our program would be a great fit for you/them? What do you hope you/they get from it? And anything else you'd like us to know. Briefly explain any special family or financial circumstances: Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Certification * I certify that all of the information submitted with my application is true and complete to the best of my knowledge. If asked by an authorized official of The Crow, I agree to provide proof of the information I have given. I understand that the inclusion of any false or misleading information, or the exclusion of requested information, will result in the removal of my application from consideration for any award and will necessitate the repayment of any award I do receive.I understand I must supply all follow-up information by the date requested. I have read the application instructions. I am aware that incomplete or missing information on my application will jeopardize consideration for this award. I Agree I Disagree Photo and Media Release Waiver * Permission is hereby given to The Crow to use, reproduce, and/or publish my (or my child's) photograph or video – including my/their image, likeness, and/or voice for publicity and media purposes. As a practice we make every attempt to let scholars know we are using their image. We aim to treat you with the greatest respect while we tell The Crow's story to the community. I Agree I Disagree Signature * Please type in your full name below. This serves as your ELECTRONIC SIGNATURE on this application. Thank you! Sponsor Youth Classes Sponsor Adult Classes Name * First Name Last Name Participant's Name (if different) First Name Last Name Participant's Age (if minor) Participant's Gender * Non-Binary Female Male Prefer Not to Answer Preferred Pronouns * Program applying for: * Crow Comedy Camp (ages 7-12) Comedy School For Kids (ages 8 - 12) Teen Stand-Up Class (ages 13 - 17) Stand-Up 101 (adults) Stand-Up 201 (adults) Race: Please check all that apply * African American or Black Asian / Pacific Islander Caucasian Hispanic or Latino Middle Eastern Native American or Alaskan Native Decline to State Other Personal Essay by Participant or Guardian of Participant * Write a personal essay telling us about you or your child (400 - 600 words). Why do you think our program would be a great fit for you/them? What do you hope you/they get from it? And anything else you'd like us to know. Briefly explain any special family or financial circumstances: Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Email * Certification * I certify that all of the information submitted with my application is true and complete to the best of my knowledge. If asked by an authorized official of The Crow, I agree to provide proof of the information I have given. I understand that the inclusion of any false or misleading information, or the exclusion of requested information, will result in the removal of my application from consideration for any award and will necessitate the repayment of any award I do receive.I understand I must supply all follow-up information by the date requested. I have read the application instructions. I am aware that incomplete or missing information on my application will jeopardize consideration for this award. I Agree I Disagree Photo and Media Release Waiver * Permission is hereby given to The Crow to use, reproduce, and/or publish my (or my child's) photograph or video – including my/their image, likeness, and/or voice for publicity and media purposes. As a practice we make every attempt to let scholars know we are using their image. We aim to treat you with the greatest respect while we tell The Crow's story to the community. I Agree I Disagree Signature * Please type in your full name below. This serves as your ELECTRONIC SIGNATURE on this application. Thank you! Sponsor Youth Classes Sponsor Adult Classes
