2018 Summer Camp Scholarship Request Form: Waitlist

Please Note: We have awarded all scholarship funds available for Summer 2018. We have requested more funding from our donors and hope to have more funds available for this summer. Completing this form will add you to the scholarship wait list. We will contact you if scholarships become available.

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 member of Eugene Science Center (formerly Science Factory)? *
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