Parent/Guardian Name *
Parent/Guardian Name
Child Name *
Child Name
Address *
Must be between the ages of 5 and 14.
Phone *
Which camp are you applying for? *
Select any or all date ranges that you would be interested in sending your child to.
Are you applying for a single-day scholarship or a full-week scholarship? Selecting "Either Option" may provide greater odds of your child being selected for one of these.
Please provide us with a one to two page essay explaining why your child should be selected for this scholarship award. We recommend typing this in a separate document for measuring purposes and in case of erasure due to connection issues. You may then paste into this form or send it separately to If sending separately please indicate in this field and include your name and your child's name in the separate document.

*Scholarship availability will be dependent on the amount of funds donated to this program by its sponsors, as well as the amount of applicants.  Filling out this form does not guarantee that a scholarship will be awarded.