Lopez Island Family Resource Center

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Please fill out this form to request a scholarship or payment plan for 2022 Summer Camp and Workshops. We will hold a spot for your child in requested classes until we contact you (within two business days.)

**Please complete one form for EACH child.**

This application is applying for:

Choose 1

Scholarship(s)

Payment plan for fee(s)

Clear selection

First and Last Name of Youth Participant *

Age of Youth Participant at the Time of Camp/Workshop *

First Name of Parent/Guardian *

Last Name of Parent/Guardian *

Phone *

Email Address *

Class(es) for which you are requesting a scholarship or partial payment plan:

Check

Tots in the Trees

Nature Detectives

Adventure Seekers for Youngers

FULL British Mini-Soccer Camp 1

FULL British Mini-Soccer Camp 2

FULL Camp Huckleberry Week 1

FULL Camp Huckleberry Week 2

Camp Huckleberry Week 3

Camp Huckleberry Week 4

Camp Huckleberry Week 5

Camp Huckleberry Week 6

On Cue Cooking

FULL Adventure Seekers for Olders

FULL British Challenger Soccer Camp

British Multi-Sport Camp

FULL British Full Day Sports Combo

Wool Week 1

Wool Week 2

Mountain Biking for Beginners

Tree and Rock Climbing 1

Tree and Rock Climbing 2

Tree and Rock Climbing 3

Movie Making

Fly Fishing

Write Through It Poetry