Healing Reins Summer Camp Scholarship Application
Language
  • English (US)
  • Español

  • 2026 Healing Reins Summer Camp Scholarship Application

    If you would like to apply for scholarship assistance for yourself, your family, or other members of your household, please make sure you (or they) have registered as Healing Reins participants first and then fill out this form for your entire household to apply for scholarship assistance. Please note that we receive financial support from a wide variety of funding sources; the more information you can provide, the more we will be able to apply for and match you with scholarship funding. If you have any questions or need further assistance, please contact our administrative team.
  • Format: (000) 000-0000.

  • Household Information

  • Enrollment Information

  • Demographic Information

    This information is requested by many of our current funders and helps us apply for continued funding. We only share participant data aggregate. We do not share individual details without your express permission.
  • Does anyone in your household have an IEP, IFSP, or 504 plan on file with their school? Check any / all that apply.*
  • What races / ethnicities do the members of your household identify as? Check and/all that apply*
  • Is the participant currently in child or adult foster care or is the participant an adult with a legal guardian?*
  • Other Demographic Data: Please select any / all that apply to you or the members of your household who participate at Healing Reins:*

  • Financial Information

    Please include all sources of income, all types of financial support, and all assets for all members of your household. Failure to report all types of income and assets available to your entire household may result in a denial of scholarship funding. If you have any questions, please contact the Healing Reins administrative staff.
  • What are the current sources of income or financial support for your household? (check all that apply)*
  • Do You Own Your Own Home or Rent?*
  • Does anyone in your household currently receive any of the following? (check all that apply)
  • Have you, or anyone in your household, had problems paying medical bills in the past 12 months?*
  • Do you, or anyone else in your household, have any other income, receive any financial support, or own assets that have not been included yet in this application?*
  • Should be Empty: