Scholarship Request Form
Each bubble will have a flat rate for the 12 week session, divided among the 6 participants. We will work individually with families who require cost reductions. We want it to be clear that program cost or ability to pay the full rate should not deter anyone from participating. We will work with anyone who needs additional support.

Program rates can be found at www.trailblazers.org/schoolprograms 

To request a scholarship for your camper, please complete this form.
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What is your first and last name? *
What is your email address? *
What is your phone number? *
What is your camper's first and last name? *
What program is your camper enrolled in? (Check all that apply) *
Required
What is the name of your camper's Bubble?
What is your annual household income? *
What amount per week are you requesting to pay? *
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