The Bijou Theatre · 2025 Bijou Summer Stages Scholarship Application

Parent / Legal Guardian Name *

First Name

Last Name

Email *

Verify Email *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Cell Phone *

Camper's Name *

First Name

Last Name

Camper's Age *

Please select your child's age - note that Acting and Musical camp is only available to children between the ages of 9 and 13, and Musical Bootcamp is only available to children between the ages of 13 and 17.

Media Release *

During the course of our camps/workshops, your child may be photographed. If you would like your child's photo to appear on the Bijou's website or social media, please select yes.

Which week are you applying for?

Summer Stages: Acting, June 9-13 (Ages 9-13)

Summer Stages: Musical, June 16-20 (Ages 9-13)

Summer Stages: Musical Bootcamp, July 28-August 1 (Ages 13-17)

How did you hear about our summer camp? *

Is there anything we need to know to ensure that your student has the best possible experience during their time with us?

How would receiving this scholarship benefit your student?

What specific skills or experiences are you hoping your child will gain from camp?