Financial Assistance and Scholarship Application: Clowns at the Circus Camp 2018
Thank you for your interest in our camp. This form allows you to pursue financial assistance that we hope enables your child to go to Clowns at the Circus camp 2018. There are also a handful of full-scholarships that we will administer. Only the camp Administrator and Lead camp instructor will see this information that otherwise will remain private and confidential.
Name of Applicant/Guardian *
Your answer
Primary Phone *
Your answer
Email *
Your answer
Name of Camper *
Your answer
Age of Camper *
Your answer
2nd Camper's name (if applicable)
Your answer
What is the amount of assistance requested? *
Camp tuition in full in $450. If you plan to use aftercare, that would be an additional $100. So that we can make our program available to as many campers as possible, we ask that you only request assistance to defray that portion of tuition that is otherwise beyond your family's financial means.
Your answer
What is your gross household income for the year 2017? *
This is the amount reported on the tax return of the parent(s) or guardian(s) of the student applicant for tax year 2014. Use either - the amount reported on line 37 of Form 1040 or the amount reported on line 21 of Form 1040A or the amount reported on line 4 of Form 1040EZ. DO NOT INCLUDE YOUR TAX FORMS WITH THIS APPLICATION at this time.
Your answer
The explanation of circumstances / hardship letter *
The Camp staff recognizes that each family’s situation is unique, therefore, tax and other standardized forms may not capture a family’s “hardship” circumstances. Please include a brief explanation (no more than 200 words) of your circumstances or the “need for assistance” which the staff should consider.
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