SCHOLARSHIP INTEREST FORM

An important part of our mission with Backyard Camp is to make sure money is not a barrier for those who want to pursue this kind of experience for their kiddos.

Backyard Camp fee is $190 for the week for half-day camps
and $279 for the week for full day camps.
If your family has a need- we'd like to help.

Camper Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Number of children in household registering for Backyard Camp

Number of children applying for scholarship

Number of children in household under the age of 19?

Family qualify for free and/or reduced lunch at school?

Yes

Financial needs

Please describe any special circumstances that effect your need for scholarship assistance at this time.

Scholarship Range

To ensure that we can serve as many families as possible we offer a range of scholarship options. Please indicate what percentage of registration fee you are able to pay so that we can distribute scholarships accordingly.

We can pay $300/wk we are registering

$250/wk

$225/wk

$200/wk

$150/wk

$100/wk

$50/wk

Please tell us for which week(s) of camp you are seeking scholarship.

Please write down the full week of camp and if it's a FULL or HALF day. (ex. June 19-23 HALF)