Everyone is welcome at the Actors Gym. We believe that access is a fundamental strength and our mission is best achieved when we embrace inclusion as both a core value and a daily practice. Applicants may receive one scholarship per student per session, with a maximum of two scholarships per family, per session (valid towards one class only per student). We award scholarships of up to 95 percent of course tuition. Please apply with the following steps: Please complete the form below. Then email one of the following documents to email@example.com: Copy of most recent 1040 Proof of public assistance (free lunch program, snap benefits, unemployment eligibility etc) Letter explaining financial circumstances If you have any questions, please feel free to call us at 847-328-2795 or email us at firstname.lastname@example.org.Who are you applying for a scholarship?* Myself My child Two children Your Name* First Last Child's Name* First Last Child's Date of Birth* MM slash DD slash YYYY Child's School* Child 2's Name* First Last Child 2's Date of Birth* MM slash DD slash YYYY Child 2's School* Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth* MM slash DD slash YYYY Are you applying for financial aid for the nine month Professional Training Program?*NoYesHiddenWhich class are you requesting a scholarship for? Which class are you requesting a scholarship for?*Acro DanceAcro YogaAerial ArtsAerial Composition and ChoreographyAerial FitnessBallet for AerialistsBallet for Junior AerialistsCapoeiraChinese PoleCircus Arts (Adults)Circus Arts (Kids)Circus PodsCircus FitnessClownContemporary DanceContortionFlexibilityGymnasticsGymnastics (Advanced)Handstands & HandbalancingImaginasticsImaginastics (Montessori)HandstandsJunior EnsembleLyraNU SOSOther (Please specify below)Parent-Tot GymnasticsParkourPartner AcroRhythmic GymnasticsSilksStage Combat (SAFD)Teen EnsembleTrapezeTumblingSummer CampWinter CampWhat day of the week does your requested class meet on?* What grade/age level is your requested class?* How much assistance are you applying for?*25%50%75%95%What do you hope to gain from this class?* Number of people in primary household*I understand that work done with The Actors Gymnasium involves risk. In order to decrease the possibility of accident, I agree to use The Actors Gymnasium equipment only under the direction and supervision of Actors Gymnasium personnel. As a prerequisite to participation in any class taught by The Actors Gymnasium, I hereby waive any and all claims and liability which I may have against The Actors Gymnasium, Inc., their directors, officers, employees, agents, subcontractors, suppliers, or other customers-and also against the Noyes Cultural Arts Center, Evanston Arts Council, or the City of Evanston-for injuries, losses, or death, or any other personal or property damages. This release shall be binding upon my heirs, legatees, administrators, benefactors, and personal representatives. If any part of this agreement is held invalid, the balance thereof shall continue in full legal force and effect. I acknowledge that I am aware that by participating in Actors Gymnasium activities I assume the risk to have direct or indirect contact with individuals who have been exposed to and/or diagnosed with one or more communicable diseases, including but not limited to COVID-19 or other medical conditions, diseases, or maladies, and/or any mutation or a variation thereof does exist, and it is impossible to eliminate the risk that I could become infected through contact with or close proximity to an individual with a communicable disease. The Actors Gymnasium reserves the right to exercise discretion in accepting students for classes directed by The Actors Gymnasium. Students may be denied entrance if, in the professional judgment of the faculty and administration, their participation would pose a danger to themselves or others. I have read this document and understand that it is a full irrevocable release. I also understand all terms and agreements set forth herein. By signing this document I accept all of the above terms.Signature* Please type your name above.