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2024 Girls Rock Austin Financial Aid Application 
Thank you for your interest in Girls Rock Austin’s programs. Part of our mission is to be accessible to a large number of youths from low-income backgrounds. 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.

Directions: Fill out this form, one for each camper/student for whom you are applying. Sign and send in the form with your program application. You may be contacted for a follow-up phone interview.

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Email *
Name (First & Last) of Parent/Guardian *
Pronouns for Parent/Guardian (Please Check All That Apply.) *
Required
Camper's First Name *
Camper's Last Name *
Camper's Nickname/Preferred Name
Pronouns for camper (Please check all that apply.) *
Required
What program are you requesting financial assistance for? *
Required
Home Zip Code *
How much can you pay toward your child’s tuition, if any? (dollar amount) *
Do you participate in the free lunch program at your school? (Please check one.) *
If yes, will the child require daily lunch to be provided by camp? *
What school does the child attend? *
Estimated Annual income of your family? *
Estimated Monthly income of your family? *
How many dependents are in your family? (Please do not include working adults.) *
Are you a single income family? *
Does the child for whom you are applying receive child support? *
Any other circumstances that impact the family financially that you would like taken into consideration: (Optional, 100 words or less. Please use an additional page if necessary.) *
I verify that all the information I have provided in this document is true to the best of my knowledge.
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Initials of Parent/Guardian *
A copy of your responses will be emailed to the address you provided.
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