123 Farm Art Camp Scholarship Application
Thank you for your interest in applying for a scholarship to participate in our summer art camp program. Scholarships are awarded on a first come, first serve basis to those who qualify. 123 Farm offers scholarships of up to $125 off.

Who Qualifies?
You must have transportation to and from the program you are applying to. Your application must be completed in full with all required documentation sent in order to be considered. We recommend that you apply early (January). If your household was awarded a Art Camp scholarship in the past three (3) years, you may not apply.

How to Apply:
Complete the online scholarship application and gather the following supporting documentation:
- a copy of your most recent tax return or a copy of your last 3 paystubs (for each adult in household)
- verification of any other household income
- optional 1: a letter from you explaining any unusual circumstances about your financial situation
- optional 2: a letter from your child explaining why they want to come to Art Camp.

If you are awarded a scholarship, you will be required to register for the Art Camp within 7 days. Early bird specials, discounts, promotions, etc. cannot be used in conjunction with your scholarship.

Mail supporting documentation to:
Art Camp
10600 Highland Springs Avenue
Cherry Valley, CA 92223

or e-mail supporting document to camp@hsresort.com

If you would like to fund a scholarship for those in need, please e-mail us at camp@hsresort.com.

Child's Last Name, First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
What grade is your child entering? *
Your answer
What school does your child attend? *
Your answer
Gender
Home Address *
Your answer
City
Your answer
ZIP *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian E-mail Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
If you are awarded a scholarship, how would you like us to contact you?
Occupation *
Your answer
Name of Employer/Company *
Your answer
Marital Status *
Family Size *
How many people are living in your household?
Your answer
Total Household Monthly Income *
Your answer
Total Household Monthly Expenses *
(Rent/mortgage, utilities, car payments, etc.)
Your answer
Additional Monthly Expenses
(Medical, child support, etc.)
Your answer
What supporting document will you be sending to us? *
Please send copies (not originals).
Which summer camp did your child attend last year?
Your answer
How much did you pay?
Your answer
Farm Camp Week Preference *
Which week are you looking to attend?
Required
How much scholarship money are you requesting?
We offer a maximum of $125.
Your answer
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