Financial Aid Application Form

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Lubavitch Day Camp endeavours to offer financial aid based on economic need. We offer partial scholarships and payment plans.
Please consider your needs very carefully when applying for financial aid.
All scholarships are handled in a sensitive manner, with absolute confidentiality.

Email *

Parent 1 - Name *

Parent 1 - Phone Number *

Parent 1 - Email Address *

Parent 1 - Job Title *

Parent 1 - Employer *

Parent 1 - Marital Status *

Parent 2 - Name (If not applicable please write N/|A) *

Parent 2 - Phone Number *

Parent 2 - Email Address *

Parent 2 - Job Title *

Parent 2 - Employer *

Parent 2 - Marital Status

Name and age of child/children applying for *

No of weeks registered *

Describe any circumstances that support your request for financial aid. The more details you provide, the better we can understand your situation. *

Please provide a name and contact number of a Rabbinical reference who may be contacted to confirm the information provided (this must be someone who is aware of your current financial situation) *

Are you able to help the camp out in exchange for some of your camp fees? Eg supplying any commodity from your work or business that would be useful for camp, airport pickups for staff, lifts to and from camp for staff. *

Yes

Required

If yes, please give details:

Are your eligible for child care tax credits? *

Yes

Required

Are you able to receive funding from any other sources or grants? If yes please give details. *

Total amount you feel you are able to pay towards Camp (This can be paid in 4 monthly payments) *

Are the children going or have been on any other holiday this year? *

Yes

If yes please give details

I confirm that all the information contained above is accurate to the best of my knowledge. Name *

Date *

YYYY

Send me a copy of my responses.

Submit

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