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Scholarship Application
Fill this form out to apply for a scholarship
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* Indicates required question
Name (Parent or Guardian)
*
Your answer
Name of child
*
Your answer
Age of child
*
Your answer
Full Address (street, city, zip...)
*
Your answer
Phone Number
*
Your answer
Single Parent Household
*
Yes
No
How much assistance do you need, and how much can you afford to pay for a camp?
*
Your answer
Household Income / Personal Income
*Monthly Estimated*
Your answer
How did you find out about Cook Programs?
*
Your answer
Why do you want to enroll your child in our Camp?
*
Your answer
Thank you for applying, we look at applications every week and will get back to you soon. If you do not hear back please email us at
info@cookprograms.com
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