SCHOLARSHIP FORM

Child's Name:

Parent's Name(s):

How many children are in the home?

What is your family's average yearly income?

Why do you feel a scholarship would benefit your child(ren)?

Graeagle Preschool
133 Hwy 89, P.O. Box 1636
Graeagle, CA 96103
530.836.0452
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License: 321303035