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DPS Financial Aid Registration Form 2019-2020
Students eligible for free or reduced lunch are encouraged to apply. Any family may apply. Decisions will be based on proven need. and available funds.
*
Indicates required field
Student Name
*
First
Last
Choose One
*
Male
Female
D.O.B. (00/00/0000)
*
School
*
Avery
Greenlodge
Oakdale
Riverdale
Dedham Middle School
Dedham High School
Grade
*
3
4
5
6
7
8
9
10
11
12
Instrument
*
Clarinet
Flute
Trombone
Trumpet
Violin
Drums/Percussion
Violin/Viola
Cello
Parent/Guardian Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Number
*
Cell Number
*
Email
*
Relationship to Student
*
Do you have another child in this program?
*
Yes
No
If so, what is their name:
*
Is there anything else you'd like us to know?
*
Choose One
*
I understand that the Dedham Public Schools will confirm my childs' eligibility for the free or reduced lunch programs.
I would like to apply for financial assistance, but my child is not part of the free or reduced lunch program (please explain below).
I have read the above and understand the policies of the Dedham School of Music regarding withdrawals and cancellations.
*
I Agree to the above
Please state the reason for your request:
*
Submit
Home
ABOUT DSM
Mission & History
Location
DSM News
Sharing Music Series
OUR PEOPLE
Faculty
Staff
Board of Directors
Partners
Lessons
Classes & Ensembles
DSM Classes & Ensembles
Community Band
Community Chorus
Bluegrass Jams
REGISTRATION
DSM Registration
Lesson Calendar
Policies
Financial Aid
Customer Portal
DONATE
Donate to DSM
Donate to Harmony Fund
Contact