VACT is committed to making our classes accessible and available to students, regardless of financial or other circumstances. If you are in need of assistance, please fill out this form. You will be contacted by a staff member via email to determine how we can best meet the needs in your request.

For financial assistance to attend a Verona Youth Dance class, please contact the Verona Recreation Department at 608-845-6695.

Parent/Guardian Name

First Name

Last Name

Child's Name

First Name

Last Name

Participant Grade

Please indicate the participant's current grade. If requesting assistance for a summer camp/class, please indicate the grade the participant will finish before summer, NOT the grade they will be entering in the fall.

Parent/Guardian Email

Name of Camp or Class you are requesting assistance for?

What type of assistance would be most beneficial in order to facilitate participation? (Examples could include, but are not limited to: Financial assistance, transportation assistance, Special Needs or Medical accommodation, Etc.)