Camp Scholarship Application - 10+
Hi! This application is for CAMPERS AGE 10+. We are glad you want to join us for our next sport, fitness & community service camp! We have a couple of questions for you so we can get to know you better. Feel free to have your parent/guardian help you out as needed.

Note for parents and guardians:
While SIB does not check financial or income statements for our individual applicants to our scholarship program, it is meant to be a need-based program for children who would otherwise never be able to attend any of our programs or camps at a full cost due to economic barriers. Please keep this in mind if you are completing an application. Thank you!
Sign in to Google to save your progress. Learn more
Today's date: *
MM
/
DD
/
YYYY
Child Name (first and last) *
Parent/Guardian Name (first and last) *
Address *
Parent Phone Number *
(xxx) xxx-xxxx
Alternate phone number
(xxx) xxx-xxxx
Parent email *
Emergency Contact *
Name (first and last) and phone number
Child's Birthdate *
MM
/
DD
/
YYYY
Child's current grade (or for summer applicants, for the upcoming school year) *
Please list any disabilities that your child may have (physical or cognitive) and you would like us to be aware of. (This information will only be shared as needed with staff members on a need-to-know basis.)
Please list any non-profit or governmental organization you or your child is affiliated with (if applicable)
Which camp season or day are you applying for? *
If applying for summer, which camp location are you applying for? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Meghan Ochs.

Does this form look suspicious? Report