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Camp Imagineerz Scholarship Interest Form
Student Name *
Your answer
Student's School *
Your answer
Student Grade (upcoming Fall) *
Your answer
Parent email *
Your answer
Parent phone number *
Your answer
Why would you like your child to attend Camp Imagineerz? *
Your answer
Which week(s) of camp are you interested in? Which location? *
Your answer
Do you need extended care (3pm to 6pm)? *
Your answer
What amount would you be able/willing to pay towards each week of camp? *
Your answer
How did you hear about us? *
Your answer
Questions? Comments?
Your answer
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