Camp Wabanna Financial Assistance Request
This form is NOT your camper's registration. Online registration must be completed and payment of the $150 deposit and $40 Snack Shop fee must be made in order for registration to be complete and the spot held. Financial assistance is offered only for one week of overnight camp per camper/request. Camp Wabanna is happy to offer financial assistance and not full scholarships. We make every effort to respond to requests within 2 weeks. Once a program is full, we are unable to accept any Financial Assistance Request forms. 
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Camper Name *
Age *
Gender *
Parent Guardian Name *
Address *
Phone Number *
Email Address *
How did you hear about Wabanna? *
Are you a single parent? *
Do you work? *
Does your spouse work?
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Annual Household Income *
How many children are in your family? *
Have you applied for financial assistance from Wabanna in the past? *
If yes, when and how much was received?
Please provide any additional information you'd like to share pertaining to your request for financial assistance. *
By typing my name here, I understand that this form does not secure registration.  I also understand that I will provide the deposit of $150 and the $40 Snack Shop fee, which cannot be supplied through the Financial Assistance Fund. (Any unused Snack Shop amount by the end of the week will be automatically donated back to the Financial Assistance Fund.) If my camper's online registration status is "Incomplete", I understand this means that a spot has not been held and registration cannot be guaranteed. *
Date: *
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