Connolly Ranch Education Center Financial Assistance Application for Summer Camp

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Financial assistance is available on a limited basis, by request, for all youth and families with financial need.

We use the three qualifying factors (listed in weighted order): household income, number of children, and circumstances.

Please complete a separate application for each child and program.

Email *

Name of Parent/Guardian *

Phone Number *

Name of Child (first and last) *

Child's Birth Date *

YYYY

Has your child attended Connolly Ranch before? *

Yes

Annual Gross Family Income *

Less than $30,000

$30,000 to $49,999

$50,000 to $74,999

How many children are in your household? *

1 child

2 children

3 children

4 children

Other:

Choose a Summer Camp Session (see dates on website)

Summer Camp - Session 1

Summer Camp - Session 2

Summer Camp - Session 3

Summer Camp - Session 4

Clear selection

What age range is your child? *

Ages 3-5 (Jr. Farmer)

Ages 6-7 (Rancher)

Ages 8-9 (Pathfinder)

Ages 10-12 (Steward)

How much can your family contribute towards the enrollment fee?
*

50%

Other:

Please describe any relevant financial circumstances you'd like us to know about.

Send me a copy of my responses.

Submit

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