Application for Fall Break Camp Scholarship (2022)

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The Youth Garden Project is pleased to offer Fall Break Camp scholarships in 2022! To ensure fairness in distribution as well as for grant tracking purposes, we require parents and/or guardians to fill out this application at the same time as registration. The Youth Programs Director will be in touch with all families regarding scholarship amount during the week of October 10th (or sooner!) and payment will be due by the first day of camp. Let us know if you need any help filling out this form. All information is confidential.

Email *

Name of Parent(s)/Guardian(s): *

Phone Number(s): *

Name(s) of Child(ren) *

Age(s) of Child(ren) *

Total number of adults in household: *

Total number of children in household: *

Current gross monthly income (before taxes) for household-include work income as well as additional income. This may include child support, rental income, investment income, etc.: *

Total gross income in 2021 (before taxes): *

Does your child(ren) receive discounted school meals? Check below: *

Yes, our familiy qualifies for the Reduced Price Meals

Yes, our family qualifies for the Free Meals

No, we don't qualify for either

Not sure, my child(ren) do not attend school

Required

Send me a copy of my responses.

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