OMG Youth Sports Camp/ OMG Adventure Club Scholarship, Financial Aid and Grant Award Application Form
Child's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Child's School:
Grade:
Which camp would you like to attend?:
*
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Family Information
Parent 1
Parent Name
First Name
Last Name
Home Phone
-
Area Code
Phone Number
Work Phone
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Additional Information
Child's Gender
Male
Female
Monthly Family Income (Gross)
$
Additional Income
Income ($)
Welfare AFDC
Child Support
Support from Spouse
Social Security
Income from 2nd Job
Other
Total Additional Income
Total Monthly Income
Please Explain the Reasons for Need
Name
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: