Summer Camp Financial Aid Application Form
Please complete this application form by March 31, 2019 to be eligible for summer camp financial aid. The amount of financial aid you may be awarded is based on the funds available and the number of families that apply for aid. We cannot guarantee that all families who apply for financial aid will receive it. You will be notified by May 31, 2019. Please note, all financial aid recipients will need to arrange their own transportation to and from camp each day.
General Information
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Email *
Your answer
How many children would you like to send to camp? *
Camper 1 Name *
Your answer
Camper 2 Name
Your answer
Camper 3 Name
Your answer
Camp Information
First Choice Camp Theme *
Second Choice Camp Theme *
Third Choice Camp Theme *
Weeks Available (select all that apply) *
Required
Do you need before and/or after care? *
Required
Income Information
Gross annual household income *
Your answer
Please list the total number of children AND adults living on this income. *
Your answer
Does your child qualify for the free or reduced price meal program at their school? *
Other
Are there any special circumstances you feel we should be aware of when determining financial assistance?
Your answer
Submit
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