Summer Camp Scholarship Application Form
Child's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Grade Level(in Fall)
School Name:
Scholarship Request Amount
Please Select
Partial 50% off
Full 100% off
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Family Information
Parent 1
Parent Name
First Name
Last Name
Email
example@example.com
Phone
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 2
Parent Name
First Name
Last Name
Phone
Format: (000) 000-0000.
Email
example@example.com
Additional Information
Child's Gender
Male
Female
Please Explain the Reasons for Need
Why would you like to attend summer camp?
How did you first hear about camp?
How many years has the camper attended camp?
What is/are the camper's main reason(s) for attending-- Improve playing skills? Get/stay in shape? Hang out with friends? Meet new people? Have fun?
Submit
Should be Empty: