Rowe Camp Financial Aid Request Form
Please fill out one form per camper. If you are sending two or more campers, please fill out the form for each child- Thanks!
Camper’s Full Name:
*
Parent/Guardian Name(s):
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address:
What camp are you registering for?
*
YPC 1
YPC 2
JHC
SHC
Number of people in your household:
*
Number of children attending camp this summer:
*
Sources of income:
*
Employment
Government assistance
Child support
Other
If other, please explain:
Are you currently receiving any government assistance?(e.g., SNAP, WIC, Medicaid, TANF)
*
Yes
No
If yes, please specify:
How much can you contribute toward camp tuition?
*
Have there been any recent financial changes or hardships we should be aware of? (e.g., job loss, medical bills, etc.)
Please briefly explain your financial need for camp assistance, including any relevant details. This information helps us assess your eligibility and will remain confidential.
*
In your own words, please share why you feel this Rowe camp would be a meaningful and positive experience for your child.
*
Would you be willing to provide documentation if requested?
Yes
No
Do you certify that the information provided is accurate to the best of your knowledge?
*
Yes
No
Our donors are often quite moved by hearing from whom they are helping send to camp. Do you consent to the Rowe staff using quotes from your application (anonymously) in our donor appeals?
*
Yes
No
Signature
Submit
Should be Empty: