Camps For Kids Assistance Application
Camps For Kids Assistance Application 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.
fill out outas ascompletely completelyasas possible. Forms will be reviewed on information provided; please fill 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 either save to a computer or a flash drive and email to [email protected] or mail to address below.
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 scholarships 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_____.
Your Name Here Indicates Your Acceptance Signature of Parent/Guardian:Typing _________________________________________ Date ___________________ 21201 Rd., * Spokane, 99201 Please submit application to: Camps For Kids * PO 524Box N. Mullan Ste 102 WA * Spokane, WA 99206
is a Regional Community Partnership established February 2004, after being founded by the Northeast Spokane Kiwanis Club in 2003. Camps For Kids was founded by the Northeast Spokane Kiwanisin Club in 2000. revised 3/2017
One form per camper.
fill out outas ascompletely completelyasas possible. Forms will be reviewed on information provided; please fill 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 either save to a computer or a flash drive and email to [email protected] or mail to address below.
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 scholarships 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_____.
Your Name Here Indicates Your Acceptance Signature of Parent/Guardian:Typing _________________________________________ Date ___________________ 21201 Rd., * Spokane, 99201 Please submit application to: Camps For Kids * PO 524Box N. Mullan Ste 102 WA * Spokane, WA 99206
is a Regional Community Partnership established February 2004, after being founded by the Northeast Spokane Kiwanis Club in 2003. Camps For Kids was founded by the Northeast Spokane Kiwanisin Club in 2000. revised 3/2017
