Camp Scholarship Application - 9 and under
This application is for parents/guardians of children ages 5-9. Please respond to the questions thoughtfully, and feel free to include your child in the process! If you have more than one child requesting a scholarship, please fill out an application for each child. Please note the completion of a scholarship application does not guarantee a free or low-cost spot to attend any upcoming camp.

Note: While SIB does not check financial or income statements for our individual applicants to our scholarship program, it is meant to be a need-based program for children who would otherwise never be able to attend any of our programs or camps at a full cost due to economic barriers. Please keep this in mind if you are completing an application. Thank you!
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Today's date: *
MM
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DD
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YYYY
Child Name (first and last) *
Parent/Guardian Name (first and last) *
Address *
Parent Phone Number *
(xxx) xxx-xxxx
Alternate phone number
(xxx) xxx-xxxx
Parent email *
Emergency Contact *
Name (first and last) and phone number
Child's Birthdate *
MM
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DD
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YYYY
Child's current grade (or for summer applicants, for the upcoming school year) *
Please list any disabilities that your child may have (physical or cognitive) and you would like us to be aware of. (This information will only be shared as needed with staff members on a need-to-know basis.)
Please list any non-profit or governmental organization you or your child is affiliated with (if applicable)
Which camp season or day are you applying for? *
If applying for summer, which camp location are you applying for? *
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