Summer Camp Scholarship Nomination
Creekside Ranch Rescue will be hosting summer camps this year for children in need in Cherokee County and surrounding areas. We are looking to provide camp programming for children who would not normally be able to attend summer camps due to financial barriers. Please complete this form to nominate a camper (parents may nominate their own children, but a recommendation letter from another adult must be included!). All eligible applicants will be entered into a lottery and campers will be chosen at random. Please confirm that the family is available for the listed camp dates prior to submitting the application!
Camper Information
Child's Name
*
First Name
Last Name
Birth Date
*
Please select a month
January
February
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Month
Please select a day
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Day
Please select a year
2024
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Year
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Information
Name
*
First Name
Last Name
Cell Number
*
E-mail
*
example@example.com
Nominating Adult (if different from parent)
If you are nominating another family, please list your contact information so CRR can contact you with any questions. If you are a parent nominating your own child, you may skip this section.
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Application Questions
How did you hear about Creekside Ranch Rescue's camp program?
*
What qualifies this child to be able to attend summer camp on a scholarship?
*
Tell us about this child's experience/history with horses.
*
Please check the box next to any circumstances that apply to this child:
*
Free/Reduced Lunch through Public School
Foster System
Other state financial assistance (list below)
None of these circumstances apply
Please list any other financial assistance this child's family qualifies for:
Do any of these circumstances apply to this child's family?
*
Single Parent (with assistance from other parent)
Single Parent (no assistance)
Parent currently works as First Responder
Parent works in Military (active duty)
Parent currently works in Education
None of these circumstances apply
Recommendation Letter
*
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Please note this letter should come from an adult who knows this child well and can speak to his/her behavior and the family's general situation to give us a better idea of their eligibility for this program.
Cancel
of
Summer Camp Weeks (Monday-Thursday 9 am - 12 pm) (select all that this child is available for, but each child may only be selected for one week of camp)
May 27th - May 30th
June 10th - June 13th
June 24th - June 27th
July 8th - July 12th
July 15th - July 18th
Availability Disclaimer
Please note that if a child is selected for a week of camp and they give up their spot, their application may not be valid for other camp weeks. You must verify availability prior to submitting this application.
Additional Comments
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