Stoke Dispensary Scholarship Application
This form is an application for Summer Camp Scholarship Grants for families who cannot afford quality child care for their children in the summer months. We are offering a full scholarship to each of our 5 Day summer camps in 2019. As our mission is to Dispense Stoke all over the Outer Banks, we also want to make sure that local kids can participate in our programs even when they cannot afford it. Please visit the
for more information on the Summer Camps we offer and which one would be the best fit for your child. Also feel free to reach out to us at (252) 261-0145 with any questions about the scholarship process. Scholarships open to residents of northeast North Carolina only.
Child's First & Last Name
Child's birthdate. Your child must be between the ages of 8 - 14 years old as of June 15th, 2019. We do not offer scholarships to children under the age of 8 or over the age of 14.
Parent/Legal Guardian's First & Last Name
Parent/Legal Guardian's Email Address
Parent/Legal Guardian's Cell Phone Number
Which Summer Camp Program are you interested in?
Jr Lifeguard Camp w/ Kill Devil Hills Ocean Rescue
5 Day Shredutopia Surf Camp
3 Day Shredutopia Surf Camp
Why is your child a good candidate for our scholarship grants.
Student Essay: Allow your child to tell us why they would like to participate in one of our camps this summer.
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