JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Vacation Day Scholarship Form
Please fill out one form for each child
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Child's Name:
*
Your answer
Child's Date of Birth:
*
MM
/
DD
/
YYYY
Parent/Guardian's Name:
*
Your answer
Street Address:
*
Your answer
City:
*
Your answer
State:
*
Your answer
Zip:
*
Your answer
Phone Number:
*
Your answer
School your child is currently attending:
*
Your answer
Is your child approved for Free or Reduced Lunch, SNAP, or Husky?
*
Yes
No
You will be asked to provide a copy of the document confirming approval once your application has been summitted.
If your child received a SoundWaters scholarship in the past, please indicate for which program(s):
Young Mariners
Camp SoundWaters
Science Stars
Fall Adventure Series
Spring Adventure Series
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Soundwaters.org.
Report Abuse
Forms
