Camp Artism Chicago 2023 Scholarship Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By submitting this form, you agree that the information provided is truthful to the best of your ability. Full participation is required June 24-30, 2023, 8am-4pm. Drop off & pickup is at W Chicago Lakeshore: 644 N Lake Shore Dr., Chicago, IL 60611

By completing this form, you understand that you or a responsible adult needs to arrive by 8am and pickup daily at 4pm to: Drop off & pick up location: 644 N Lake Shore Dr., Chicago, IL 60611 *

Yes

Required

Full Name of person completing this form. *

Participant Name (must age 12 or older) *

First and last name

Email *

Phone number *

Address *

Annual Total Household Income *

$0-$12,000

$12,000-$25,000

$25,000-$40,000

$40,000-$60,000

$60,000+

Describe the need for financial support. *

By completing this scholarship form, you are agreeing to full participation in Camp Artism Chicago 2023 June 24-30, 2023, 8am-4pm. There is a deposit of $200 required to hold space for your scholarship & upon completion of the program, your deposit will be returned to you. *

Yes

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Phenomenal Flame. Report Abuse

Forms