Before submitting this application for a summer camp scholarship your child must be registered for Naperville Youth Club's 2026 Summer Camp.
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I have already completed registration for the 2026 Summer Camp
Parent/Guardian Information
Parent/Guardian's Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Camper's Name
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First Name
Last Name
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Household Information
Total Number of People in Household
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Number of Children Under 18
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Annual Household Income Range
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Under $35,000
$35,000–$50,000
$50,000–$70,000
Over $90,000
Primary Income Source
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Employment
Self-Employment
Unemployment
Disability
Other
Do you receive any of the following?
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SNAP / EBT
Free or Reduced Lunch
Medicaid / All Kids
Housing Assistance
None
Are there any recent financial hardships we should know about? (Job loss, medical expenses, housing changes, etc.)
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Documentation and Disclosure
To protect your privacy we do not ask you to attach proof of financial need to this application. However, if selected to receive a scholarship, we may ask you to provide one or more of the following in-person:
Income Verification
Most recent pay stubs
Employer income verification letter
Unemployment benefits statement
Social Security benefits letter (SSI/SSDI)
Child support statement (summary page only)
Hardship Verification
Recent medical bills (summary page only)
Eviction notice
Proof of job loss or reduced hours
Letter from a social worker, case manager, etc.
Unexpected expense documentation
Public Assistance Verification
SNAP / EBT approval letter
Free or Reduced Lunch eligibility letter
Medicaid / All Kids card
Housing assistance documentation
WIC participation letter
Agreement & Signature
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By submitting this application, I certify that the information provided is accurate to the best of my knowledge.
Signature
Submit Application
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