2024 Twin Cities R.O.C.K. Camp Scholarship Request Form

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At Twin Cities R.O.C.K., our goal is to create an atmosphere where children with Celiac Disease are able to come together for a normal camp experience in a safe gluten free environment. While we do our utmost to make the fees for camp as little as possible, we do realize it can be difficult for some families to pay the full amount. Twin Cities R.O.C.K. is a local non-profit with a very limited budget therefore, scholarship funds are limited and are first offered to children/families with the greatest financial need. R.O.C.K. makes every effort to assist all families requesting a scholarship but cannot guarantee being able to help everyone.

● Scholarships must be requested by May 15 with your deposit of $250 minimum.
● Only children with Celiac Disease or gluten intolerance may receive scholarships (friends, siblings do not qualify).
● We will contact you with our decision by June 1.
● If you get only a partial scholarship or none at all, we will honor the early bird pricing for anyone requesting a scholarship.

Please fill out a separate scholarship request form per camper.

***Please know that you are not obligated to tell us more than you wish. It will not negatively impact our determination if you choose not to include more information***

Camper's Preferred First Name *

Camper's Last Name *

Camper's Age *

Full address *

Parent/Guardian Full Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Is it the camper's first year coming to Camp R.O.C.K.? *

Yes

Has this camper ever received a scholarship from Twin Cities R.O.C.K.? *

Yes

Has this camper and/or their family received any of the following within the last 6 months: Free or Reduced Lunch, SNAP Benefits, WIC, or Medical Assistance? *

Yes

Has the camper's family experienced a financial hardship in the last year? *

Yes

Is there any further information that you would like to provide to help with our determination?

What scholarship amount are you requesting? *

Please note: This does not mean the camper would be awarded this amount, nor does it mean they are limited to only this amount. We hope to provide as many scholarships as we can, and this question helps us determine how many can be awarded.

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