JFCS Camp Scholarship Application
Signup Information:
Date:
(mm/dd/yyyy)
Name of child who will be attending camp:
Parents names and addresses:
Parents Phone numbers:
Parent Email Address:
Child's Age:
Child's current grade in school:
Name of camp child plans to attend:
Dates of camp program:
Start Date:
(mm/dd/yyyy)
End Date:
(mm/dd/yyyy)
Is this an overnight camp experience?
Yes:
No:
Other sources of funding aplied for:
Other funding received:
Amount requested from JFCS:
Has child attended overnight camp before?
Yes:
No:
If yes, what camp and when?
Description of need (include any circumstances you feel are relevant):
Address of camp (where scholarship check should be sent):
Proudly meets or exceeds all standards.