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2021 Stipend Application

CAMPER INFORMATION

Applicant #1
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Applicant #2



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Applicant #3



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Which parents will be involved in the application and payment process?
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PARENT INFORMATION

FATHER or MALE GUARDIAN

 

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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MOTHER or FEMALE GUARDIAN

 

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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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(for divorced/separated parents)

FINANCIAL INFORMATION

AID REQUEST

 2021 Tuition Prices range from $1900 (3-week day camp) to $8400 (full season overnight), and may vary, depending on the session. Knowing the above rates, and the number of children applying for aid,

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* Scholarship may be applied towards any session. Families are fully responsible for the balance of tuition + all expenses
INCOME STATEMENT

All information provided will be kept in strict confidence. The foundation may request an applicant’s tax returns, and should that request be denied, it is understood that this may decrease the applicant’s chances for receiving financial aid.

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Father / Male Guardian
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Mother / Female Guardian


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SUPPORTING INFORMATION


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I certify that the information reported on this form is, to the best of my knowledge, correct and complete, and understand that the foundation reserves the right to request financial documentation.
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(mm/dd/yyyy)
Upon hitting the submit button, you will be directed to a page containing additional "CAMPER QUESTIONNAIRE" and "REFERENCE" forms.