Summer Intensives Scholarship Application

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Date

MM slash DD slash YYYY

Student Information

Student's Name*

Name of student attending course

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Student's Cell Phone Number*

Student's Home Phone Number (if applicable)

Student's Email Address*

Enter Email Confirm Email

Is email an effective means of communication with you?*

Yes

Student's Pronouns

she/her

he/him

they/them

Check all that apply

Student's Birth Date*

MM slash DD slash YYYY

Student's Age as of July 2026*

Summer Intensives are for students aged 12-17.

Student's School*

Student's T-Shirt Size

Adult Small

Adult Medium

Adult Large

Adult XL

Adult 2X

Student Questions

Please read carefully and fill out entirely.

What music are you currently listening to and why?*

What are your favorite plays or musicals and why?*

How did you hear about this program? Select all that may apply.

I've participated in a summer education program at Two River Theater before.

I've participated in other Two River Theater education programs before.

Teacher / School

Word of Mouth

My own research online

Instagram

TikTok

Twitter

Facebook

I'm a local resident

My family are Two River Theater patrons / subscribers

Ad in the Monmouth County Teen Arts program

Other

Medical and Emergency Information

Student's Physician Name*

Student's Physician Phone Number*

Is Student:

Kosher

Halal

Gluten-free

Vegetarian

Vegan

Allergies (nuts, latex, etc.)*

Medication allergies (Ibuprofen, penicillin, etc.)*

Does Student carry an inhaler or an epi-pen? Please specify.*

Are there any medical conditions or details that you feel we should be aware of, especially in case of an emergency?*

Please list any medications that Student takes on a regular basis.

Emergency Medical Treatment Release*

Check here if Parent/Guardian agrees to the following:

I hereby authorize Two River Theater to secure, and I consent to, any medical treatment that may be given should Two River Theater determine, in its sole discretion, that my child needs medical care as a result of their being on the premises or from participating in the activities at Two River Theater. I will take full responsibility for all costs related to this medical treatment, including any transport costs, and release all parties involved from any type of liability for anything that may happen during their treatment or transport.

Students who apply for a scholarship must meet the following requirements:*

1. Do you have a desire to learn about theater?
2. If you receive a scholarship, do you agree to attend every class and be willing to participant and collaborate with the group?
3. Will you strive to be a positive member of the class?

Yes, I agree to the above requirements.

Please write a few sentences in which you tell us why you want to take part in Two River Theater's Summer Intensives. What aspects of the program interest you the most, and why?*

Parent/Guardian Information

Parent/Guardian Name(s)*

Parent/Guardian Cell Phone Number(s)*

Parent/Guardian Work or Home Phone Number(s)*

Parent/Guardian E-mail Address*

Enter Email Confirm Email

Is email an effective means of communication with you?*

Yes

In case of an Emergency, Parent/Guardian will be contacted first. If they are not available, please contact:*

Emergency Contact's Phone Number*

Emergency Contact's Relationship to Student*

Please indicate your annual household income*

Under $20,000

$20,000–$30,000

$30,000–$40,000

$40,000–$50,000

$50,000–$60,000

$60,000–$70,000

$70,000–$80,000

$80,000 and above

$90,000 and above

$100,000 and above

Employment status*

Currently Employed

Self-Employed

Unemployed

Is your family eligible for your district's free or reduced lunch program?*

Yes

Does your family receive government assistance?*

Yes

How many children are in your household?*

My child has participated in...*

prior Summer programs at Two River Theater

other Two River Theater Education programs

other drama/theater programs, not at Two River Theater

no prior drama/theater programs

Please list the programs your child has participated in, if any:

For what Week(s) and Track(s) of the Summer Intensives program are you interested in registering?*

Week One (July 13-17) Onstage Track

Week One (July 13-17) Backstage Track

Week Two (July 20-24) Onstage Track

Week Two (July 20-24) Backstage Track

Summer Intensives are for students aged 12-17.

How much do you feel that you can contribute towards program tuition?*

Please include any additional information that you feel would be relevant to this scholarship application.*

Some further information is helpful in reviewing scholarship requests. Please include your child's interest in theater, and why you want them to participate.

The following are the only people authorized to pick up my child from TRT’s program:*

PLEASE INCLUDE YOUR OWN NAME! Exceptions must be submitted in writing that day.

Please check this box only if your child may leave unaccompanied.

Yes, my child may leave Two River Theater without a parent/guardian/authorized person.

May Two River Theater use your child's image in promotional materials?

Photo and video may be used for Two River Theater's website, Facebook, Instagram, press articles about Two River Theater's education programs, and other institutional materials and promotions. Names or other details about students will never accompany use of their image. If you do not give your permission, please leave blank.

YES, Two River Theater may use my child's image

This information will be kept confidential and will be reviewed only to determine eligibility for aid. Two River Theater strives to fill as many scholarship requests as possible. Scholarships are granted based on availability of funds, availability of space in the class, student’s adherence to the requirements* listed above, and the family's level of genuine need. Scholarship applications are reviewed on a rolling basis. Scholarships are non-refundable and non-transferable. Please notify Two River Theater immediately if you are unable to participate. Withdrawing from a program may affect eligibility for future scholarships.*

By checking this box, I agree that the information I submitted is correct and I agree to the conditions provided.

Parent / Guardian Signature*

This section will serve as a signature, and by typing my name in this section, I agree that the information I submitted is correct and I agree to the conditions provided.

Summer Intensives Scholarship Application

2026 Summer Intensives Scholarship Application

Student Information

Student Questions

Medical and Emergency Information

Parent/Guardian Information

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