Summer Art Camp Scholarship Application Form
Artist's Full Name (Child 1)
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (2025-26 school year)
*
Please Select
K
1st
2nd
3rd
4th
5th
6th
School Name
*
District
*
Artist's Full Name (Child 2)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (2025-26 school year)
Please Select
K
1st
2nd
3rd
4th
5th
6th
School Name
District
Artist's Full Name (Child 3)
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Grade (2025-26 school year)
Please Select
K
1st
2nd
3rd
4th
5th
6th
School Name
District
Which session(s) are you interested in registering your artist? (Select all that may apply)
Session 1: June 1st-June 5th
Session 2: June 8th-12th
Session 3: June 15th-19th
Session 4: June 22nd-26th
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Family Information
Parent/Guardian 1
Parent/Guardian Name
*
First Name
Last Name
Cell/Home Phone
*
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2
Parent Name
First Name
Last Name
Cell/ Home Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other children in family
Please provide the additional names of all children in the household, including the student(s) for whom you are applying.
*
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Additional Information
Household Income
Scholarship Amount Requested
Please explain the reasons for this need.
By signing below, I confirm that the information provided is accurate and acknowledge that scholarships awarded may be partial or full, depending on available funds.
*
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