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BCRD 2020 Summer Camp Scholarship Application
Please complete all information to the best of your ability. You will be contacted within 2 to 3 business days regarding your application
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* Indicates required question
Parent/Guardian Name (First and Last)
*
Your answer
What is/are the name(s) and age(s) of your child(ren) who will be attending camp?
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
How many weeks of camp are you anticipating registering for?
*
Choose
1 Week
2 Weeks
3 Weeks
4 Weeks
5 Weeks
6 Weeks
7 Weeks
8 Weeks
9 Weeks
10 Weeks
Entire Summer (11 Weeks)
What is your household size (Include yourself, spouse and dependents living at home):
*
Choose
1 person (not common)
2 people
3 people
4 people
5 people
6 people
7 people
8 people
9 people
10 people
more than 10 people
What is your monthly household income for the entire household (include salary, wages, unemployment, child support, alimony, etc.)
*
Your answer
Do you currently receive any additional financial aid such as SNAP, WIC, housing allowance, other scholarships, etc.? If you answer yes, please explain.
*
Your answer
Please provide additional information why you believe your child(ren) should receive a BCRD scholarship.
Your answer
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