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
Entire Summer (9 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.