Camp Scholarship Application 2022

Student Name(Required)

First Last

Please select Student's current grade.(Required)

Student Date of Birth(Required)

Which camp will your student attend?(Required)

Parent / Legal Guardian Name(Required)

First Last

Parent /Legal Guardian Address(Required)

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

Parent / Legal Guardian Phone(Required)

Parent / Legal Guardian Email(Required)

Marital Status(Required)

How many dependents live in your household?(Required)

How many of your dependents are attending camp?(Required)

How much are you able to pay toward the total camp cost through your own means or help from friends and family?(Required)

Is your family going through financial hardship?(Required)

If yes, please explain:(Required)

Have you or your spouse or guardian recently lost your job?(Required)

If yes, please explain:(Required)

In a normal school year, do you qualify for free or reduced lunches?(Required)

What is your annual household income?(Required)

In their own words, how would your child benefit from attending camp?(Required)

What are they most looking forward to?(Required)

Agreement(Required)

I agree that all information listed in the above form is true, complete and accurate.

Signature(Required)