Playzeum Summer Camp Scholarship Application

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Play for All

Playzeum is dedicated to making our community nonprofit children’s museum accessible to ALL children in our community, regardless of financial constraints.

Our Play for All Initiative is offered in partnership with the City of Yuba City, Community Block Grant Program.

Scholarships can be used for two summer camp session for each child.

Applicants must -

live in the City of Yuba City and have a total household income at or below the following limits:

Once submitted, Playzeum staff will review your application and with 10 days reach out to you by email.

Email *

Parent/Caregiver Name *

Email *

Home Address (street, city and zip code)

Phone number *

Child's Name

Child's Age *

Child's Birth Date *

YYYY

What is primary language spoken in your home?

English

Spanish

Punjabi

Other

What is the chid's race/ethnicity? *

White

Hispanic/Latino

Black/African American

Asian

American Indian or Alaska Native

Native Hawaiian or Other Pacific Islander

American Indian or Alaskan Native AND White

Black/African American AND White

Asian AND White

American Indian or Alaskan Native AND White AND Black/African American

Multi-Racial Other

Does your child have any special needs?

Total in your household *

Total household income?

Which of the following public assistance program does your family currently access? (check all that apply)

WIC

Medi-Cal

CMSP/Path2Health

CalFresh (Food Stamps), Supplemental Nutrition Assistance Program (SNAP)

Temporary Assistance for Needy Families (TANF)

Others

None of these

Required

Female Head of Household

Yes

Clear selection

A copy of your responses will be emailed to the address you provided.

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