Summer Camp Scholarship Application - 2024
Thank you for applying for a BlazeSports Camp Phoenix Scholarship. Once reviewed, we will contact you with a decision. With our goal of eliminating the financial barrier to attending camp, scholarships are awarded based on financial need and by each unique family situation. There are a limited number of scholarships available, so please fill out the below as quickly and as detailed as possible.
Camper's Name
First Name
Last Name
Camper's Birthdate
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Month
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Day
Year
Date
Camper's Age
Camper's Primary Diagnosis
How does this diagnosis effect the camper's daily life?
Parent/Guardian's Name
First Name
Last Name
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Email
example@example.com
Gross Annual Family Household Income (Before Taxes):
Please Select
Under $25,000
$25,000 - $34,999
$35,000 - $44,999
$45,000 - $64,999
$65,000 - $74,000
$75,000 - $84,999
$85,000 or over
Total Monthly Expenses (please do not list items or breakdown):
Total Number of Individuals in Household:
Number of Dependents:
How much can you afford to pay for your child/children to attend camp? Whatever amount you are able to pay helps us support more potential campers to receive financial assistance. (Total Camp Fee: $400 per camper)
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Please provide us with as much detailed information as possible as to why your application should be eligible for scholarship consideration. Information such as; occupation, employment status/history, extenuating circumstances, etc. are all helpful in determining application eligibility.
Date of Submission:
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Month
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Day
Year
Date
I attest that all the above information is true to the best of my knowledge. If any information changes after the submission of this form, I will contact BlazeSports to amend any information.
Submit
Should be Empty: