2019 Summer Camp Scholarship Request Form: Wait List
As of May 23rd, 2019, all applications for summer camp scholarships are via wait list. What this means is that if a recipient of an awarded scholarship does not use it or cancels their registration, we will begin contacting families on the wait list to award those funds.

We are excited that your child is interested in Summer Camp at Eugene Science Center! Please fill out this form to give us more information about your scholarship request. Scholarships apply to one full week of camp per child. Families with more than one child may request one scholarship per child.
Email address *
Today's Date *
First & last name of Parent/Guardian requesting scholarship: *
Your answer
Best phone number to contact you at: *
Your answer
Are you a current member of Eugene Science Center? *
Never submit passwords through Google Forms.
This form was created inside of Eugene Science Center, Inc.. Report Abuse - Terms of Service