Scholarship: Application Form

Through our dedicated scholarship fund, it is our priority to make Camp4Real Summer Camp inclusive and accessible to families and children in our community, regardless of financial status. Financial assistance for Summer Camp is awarded on a first come, needs basis. All families with a financial need are encouraged to apply.

Application Deadline:

Scholarship Application Deadline for 2024 Summer Camps: 11:59 PM on May 1, 2024 (Please note that an application must be submitted for each child that you are requesting a scholarship for)

Scholarship Rates:

First Child: $50 registration fee per camp week (with a limit of two camp weeks)
Additional Children: $20 registration fee per camp week (with a limit of two camp weeks)

Location:

Scholarships are good toward Summer Camp at the Blue Ridge School location only

Number of Weeks:

Families utilizing a scholarship are limited to two weeks of summer camp per child (for example: a family of two children using a scholarship may register for a total of four weeks of camp, with each child attending two weeks of camp)

Transportation:

This shuttle option is only available if there is space on the shuttle pick-up/drop-off location of choice at the time of registration

Scholarship Information

Select a Camp Session:*

Scholarship amount requested*

50%
Scholarship fee still applies
75%
Scholarship fee still applies
100%
Scholarship fee still applies

Select a Shuttle Option:*

Explanation of circumstances for your request:*

Student Information

Student's Name*

Student's Address*

Date of Birth*

Student's Age*

Student's Grade*

School*

Parent/Guardian Information

Parent/Guardian Name*

Phone:*

Email:*

Number of Children Living at Home:*

Children Ages:*

Number of Dependents on Family Income:*

Total Annual Household Income*

$0 - $30,000
$30,001-50,000
$50,001 - $75,000
Over $75,000

Income Sources (check all that apply)*

Employment Salary
Disability
Social Security Investment
Child Support
Other:

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