Build-A-Bike Teen Summer Camp Financial Aid Application
This Camp is for Teens 14 - 17 years of age

All responses to this form are confidential and will not be shared with any other organization, agency, or individual for any reason.

Please Fill out the following form if you would like to be put on our financial aid wait list.
Email address *
Your Full Name *
Your answer
How many teens would you like to enroll? *
What is (are) their name(s)? *
Your answer
Which Camp session would you like your teen(s) to attend? *
Will your teen be able to attend all 5 days of the camp session? *
Does your teen have their own bicycle? *
Does your teen have a helmet and a bike lock? *
How many individuals are in your household? *
Are you the head of household? *
What is your estimated yearly income? *
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