Gamers Island Camp Scholarship Application

The Level-Up Scholarship Application

Powered by Delmar Main Street

Our Mission: At Gamers Island, in partnership with Delmar Main Street, we believe every child should have the opportunity to experience the excitement, learning, and community of our Gaming Camps—regardless of their family's financial situation. Our income-based scholarship program is designed to make camp accessible to all families in need.
Childs Full Name*
Date of Birth*

MonthDayYear
Date
Please provide the names and birthdates of any additional children, if applicable.
Parent / Guardian Name*
Phone Number*
Email Address*
example@example.com
Home Address*
City*
State*
ZIP Code*
Which camp are you applying for? (Check one)*

Spring Break CampSummer Break CampWinter Break Camp
Financial Information
Total Household Income (before taxes):*

Under $15,000$15,000 - $25,000$25,000 - $40,000$40,000 - $50,000$55,000 - $70,000Over $70,000
Number of people in household (Including Yourself)*
Do you qualify for or receive any of the following? (Check all that apply)*

Free or Reduced Lunch ProgramSNAP (Food Stamps)MedicaidTANF (Temporary Assistance for Needy Families)SSI DisabilityHousing AssistanceOther
Additional Documentation:

To verify income eligibility, please provide one of the following:
- Recent pay stubs (last 30 days)
- Most recent tax return (first page only)
- Proof of participation in free/reduced lunch or government assistance programs.
Upload Current Supporting Document(s)*

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1. Why would you like your child to attend Gamers Island Camp?*
2. How would receiving this scholarship benefit your child and family?*
3. Does your child have any gaming-related interests or aspirations?*
Parent/Guardian Signature: I certify that the information provided is true and accurate. I understand that providing false information may result in disqualification from the program.
Date*

MonthDayYear
Date
Signature*

Clear
Applicants will be informed of their scholarship status no later than two weeks before the camp start date. Thank you for applying!
Should be Empty:

The Level-Up Scholarship Application

Powered by Delmar Main Street

Financial Information