Program Registration and Scholarship Application

Student's Name *

First Name Last Name

Student's Date of Birth *

To Determine Age Groups

Student's Gender *

Female Male

Parent's Name *

First Name Last Name

Email *

Confirmation Email example@example.com

Phone Number *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Second Parent's Name

First Name Last Name

Second Parent's Email

Confirmation Email example@example.com

Second Parent's Phone Number

Allergies, Special Needs, and/or Accommodation Requests *

Emergency Contact *

Are you applying for a scholarship or requesting a payment plan? (scholarships cannot be combined, only one type per child) Please read requirements for qualification below)

Merit-based Need-based

Which camps are you interested in applying for?

GOOOAAAAL; World Cup & Food Spreads (July 2-13, Ages 8-12) PAPER & SILK (July 2-13, Ages 4-7) TENTS &SKYSCRAPERS (July 16-27, Ages 8-12) WATER & SAND (July 16-27, Ages 4-7)

Need-based scholarships are available to families that receive government assistance such as food stamps, housing, health insurance, etc. or those whose combined household income is below the self-sufficiency level for their family size and county of residence. Please upload proof of government assistance showing the date of the latest occurrence and name(s) of the beneficiaries (if not applicant, please also upload proof of beneficiary's relationship to the applicant). To apply for a merit-based scholarship, please upload one of the following: (1) the applicant's latest report card or a recommendation letter from a teacher or official school representative, (2) a cover letter or up to 2-minute video recording describing/showing applicant's merit and a brief statement on why the applicant is interested in the program.

Upload documents supporting scholarship application

Browse Files

Please specify name and cost of the program of interest as advertised by Kalimah Programs. A non-refundable processing fee of $15 is required for each application. Please add the processing fee to the program fees advertised or agreed upon with Kalimah Programs. If applying for one of our summer camps, there is a $100 mandatory, refundable deposit fee. This fee is to guarantee your child's spot and will be fully refunded within two weeks of the end of camp upon successful completion of its requirements. Cancellation of registration must be at least 30 days before the start of camp in order to get the deposit refund. If cancellation is requested less than 30 days in advance, the deposit will be forfeited. If applying for a scholarship, please pay both the refundable deposit ($100) and the non-refundable processing fee ($15) now and Kalimah Programs will contact you once a decision has been made regarding your scholarship application. Registration and scholarships will be withdrawn without the deposit.

Payment Info

USD If interested in becoming a Kalimah Member, please add $75 for an annual, family membership fee.

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Other Program(s) of Interest

Comments/Questions

Kalimah Programs' Registration & Scholarship ِApplication Form