Southlands Summer Camp Financial Aid Application
Applicant Information
Parent/Guardian Name:
*
Child's Name:
*
Age:
*
Grade (Fall 2026):
*
Email:
*
example@example.com
Phone:
*
Format: (000) 000-0000.
Home Address:
*
Camp Selection
Camp Selection
*
Pony Camp
Nature Camp
Jumpstart Camp
Preferred week(s):
*
Financial Assistance Request
Camp Tuition:
*
Family Contribution:
*
Amount Requested:
*
Household Information (Optional)
Household Size:
*
Number of Children:
*
Free/Reduced Lunch Eligibility:
*
Yes
No
Prefer not to say
Statement of Need
*
Additional Information (Optional)
*
Commitment
If awarded financial assistance, I understand that my child will attend the full session,
I will notify Southlands if plans change, and I am responsible for the remaining balance.
Signature:
*
Date:
-
Month
-
Day
Year
Date
Submit
Should be Empty: