Camps for Kids Assistance Application AWS
Camps for Kids Assistance Application Camps for Kids was founded by the Northeast Spokane Kiwanis Club in 2000 Camps for Kids is a collaborative community effort recognizing the value of camp programs. Camps provide opportunities for educational and emotional growth, environmental awareness, leadership, exposure to healthy lifestyles, and respect for diversity. If you have questions, please contact: Peggy (509)953-8981 or [email protected].
One form per camper • Forms will be reviewed on information provided; please fill out as completely as possible. • Financial aid will help with only the basic camp fee for one session (no special activity fees). • Camp Registration – this is not a camp registration form. Follow the registration procedures for the camp of your choice. • Once all needed information is received, you will be notified by e-mail or regular mail of any award. The payment will be sent directly to the camp of your choice in your camper’s name. • To submit application, complete the online form available on the www.spokanekiwanis.com website, or print out this form, complete, and mail to address below, or email a scanned attachment to [email protected]. Camper’s Name _________________________________________ Hm Phone ( ____) ______________________ Parent/Guardian_________________________________________ Wk Phone ( ____) ______________________ Mailing Address ________________________________City ______________________State____ Zip__________ School ___________________________ Grade in Fall ______ Email Address ______________________________ Has camper received financial aid for a camp before? ____ If yes, camp ____________ year ______ amount: $________ Fill in camp desired, fee and any remaining balance after applicable discounts. Full awards are not provided. This helps maximize the number of kids able to attend camp. Please keep this in mind when you indicate your requested amount. Organization Camp Street Address
Contact Phone #, Web address
City/ State/ Zip
Fee $_______ minus discounts = balance $_______ ↓INFORMATION IS CONFIDENTIAL↓
What are the circumstances of your camper?
__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Circumstances which affect your family situation:
__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ How much of the registration fee can you afford to pay? $_______ # of children attending camp: ____ # of people in household______ Estimated annual household income (ALL SOURCES): $_____________ Camper qualifies for: □ reduced lunch □ free lunch Camper lives with: □ Both parents □ Father □ Mother □ Guardian Reference (someone who knows family situation) Name: __________________________ Phone: ______________ I understand that financial verification may be requested as part of this application. By accepting financial assistance, I agree to the release of demographic information. Photo release of Camper YES □ NO □
Signature of Parent/Guardian: _________________________________________ Date ___________________
Please submit application to: Camps for Kids ● PO Box 21201 ● Spokane, WA 99201
One form per camper • Forms will be reviewed on information provided; please fill out as completely as possible. • Financial aid will help with only the basic camp fee for one session (no special activity fees). • Camp Registration – this is not a camp registration form. Follow the registration procedures for the camp of your choice. • Once all needed information is received, you will be notified by e-mail or regular mail of any award. The payment will be sent directly to the camp of your choice in your camper’s name. • To submit application, complete the online form available on the www.spokanekiwanis.com website, or print out this form, complete, and mail to address below, or email a scanned attachment to [email protected]. Camper’s Name _________________________________________ Hm Phone ( ____) ______________________ Parent/Guardian_________________________________________ Wk Phone ( ____) ______________________ Mailing Address ________________________________City ______________________State____ Zip__________ School ___________________________ Grade in Fall ______ Email Address ______________________________ Has camper received financial aid for a camp before? ____ If yes, camp ____________ year ______ amount: $________ Fill in camp desired, fee and any remaining balance after applicable discounts. Full awards are not provided. This helps maximize the number of kids able to attend camp. Please keep this in mind when you indicate your requested amount. Organization Camp Street Address
Contact Phone #, Web address
City/ State/ Zip
Fee $_______ minus discounts = balance $_______ ↓INFORMATION IS CONFIDENTIAL↓
What are the circumstances of your camper?
__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Circumstances which affect your family situation:
__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ How much of the registration fee can you afford to pay? $_______ # of children attending camp: ____ # of people in household______ Estimated annual household income (ALL SOURCES): $_____________ Camper qualifies for: □ reduced lunch □ free lunch Camper lives with: □ Both parents □ Father □ Mother □ Guardian Reference (someone who knows family situation) Name: __________________________ Phone: ______________ I understand that financial verification may be requested as part of this application. By accepting financial assistance, I agree to the release of demographic information. Photo release of Camper YES □ NO □
Signature of Parent/Guardian: _________________________________________ Date ___________________
Please submit application to: Camps for Kids ● PO Box 21201 ● Spokane, WA 99201
