Financial Aid Application
Thank you for your interest in ATX Kids Club!

It is part of our mission to be accessible to children of all financial backgrounds. Our ability to give financial aid is a critical part of ensuring the success of the organization. Applying for financial aid will neither increase nor decrease your chances of getting into a program. We encourage you to ask for assistance if you need it and pay as much as you can.

Directions: Fill out this form, one for each camper/student for whom you are applying. You may be contacted for a follow-up phone interview.

Name of parent/guardian filling out this form. *
Your answer
Please provide an email & phone number of parent/guardian for us to contact you. *
Your answer
Name of camper/student *
Your answer
Child's School *
Your answer
Child's Age *
For which program are you applying for Financial Assistance? *
What drop off/pick up location are you applying? *
How much can you pay? Full price for School Holiday Adventures is $75/day. Full price for a week of Camp is $325. (We don't offer free). *
Your answer
What dates/weeks are you applying for? *
Your answer
Do you participate in the free lunch program at your school? *
What is the annual income of your family? *
Your answer
How many dependents are in your family? *
Your answer
Are you a single-income family? *
Does the child for whom you are applying receive child support? *
Does your child have any special needs, accommodations, or allergies? Please be specific. *
Your answer
We receive many applications for financial assistance, please let us know how and why your child would benefit from ATX Kids Club. *
Your answer
If approved for financial aid, would you speak for a few minutes at our annual Fall fundraiser to share your experience and the impact ATX Kids Club has had on your child? *
My typed signature below verifies that all the information I have provided in this document is true and to the best of my knowledge. *
Your answer
Today's Date *
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This form was created inside of ATX Kids Club.