The Dairy Barn Arts Center Summer Art Camp 2023 Scholarship Request Form
Scholarships are available for children who would like to participate in Summer Art Camp but require financial assistance. Please complete this form and the Education Director will follow-up with more information.
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Your First Name *
Your Last Name *
Phone Number *
Email Address
We can contact you by phone or email. Please type in your preferred contact information here. (Be sure to double check numbers/addresses for spelling and accuracy.) *
Number of children needing a scholarship in your household. (Art Camp is available for grades 1 - 7, Teen Camp grades 8 - 12) *
Scholarship availability is one week full day camp or two weeks of half day camp per child. (Scholarship value not to exceed $238 per camper.) 

Please use the table below to indicate which week(s) are your preference for participation. We will try to accommodate you as best we can, although some spaces may be limited. (You may make as many selections as apply.)
First Choice
Not First Choice but Available
June 5 - June 9 All Day (Week 1 Themes: Tall Tails & Short Stories)
June 5 - June 9 AM Only (Week 1 Theme: Tall Tails)
June 5 - June 9 PM Only (Week 1 Theme: Short Stories)
June 19 - June 23 All Day (Week 2 Themes: AM Juneteenth Celebration! & PM International Passport)
June 19 - June 23 AM Only (Week 2 Theme: AM Juneteenth Celebration!)
June 19 - June 23 PM Only (Week 2 Theme: PM International Passport)
June 26 - June 30 All Day (Week 3 Themes: AM Wizards! & PM Calling All Cryptids)
June 26 - June 30 AM Only (Week 3 Theme: AM Wizards!)
June 26 - June 30 PM Only (Week 3 Theme: PM Calling All Cryptids)
July 10 - July 14 All Day (Week 4 Themes: Human Inventions & Natural Phenomena)
July 10 - July 14 AM Only (Week 4 Theme: AM Human Inventions)
July 10 - July 14 PM Only (Week 4 Theme: Human Natural Phenomena)
July 17 - July 21 All Day (Week 5 Themes: What Makes Us Unique? & What Makes an Artist?)
July 17 - July 21 AM Only (Week 5 Theme: What Makes Us Unique?)
July 17 - July 21 PM Only (Week 5 Themes: What Makes an Artist?)
August 7 - August 11: All Day (Week 6 Themes: Patterns on Parade & (In)Visible)
August 7 - August 11: AM Only (Week 6 Themes: Patterns on Parade & (In)Visible
August 7 - August 11: PM Only (Week 6 Themes: Patterns on Parade & (In)Visible
Teen Art Camp: July 31-Aug 4
Aftercare enrollment allows camp families to pick-up campers anytime between 4:00 pm - 5:00 pm is not included in scholarship funding. The cost is $25.00 per week. 
Do you plan to enroll your camper(s) in aftercare? 
 *
Scholarship funds are available to applicants based on self-described need. The Dairy Barn does not collect financial information. By checking the box below, you attest to the accuracy of this statement: "Without financial assistance, my child(ren) would not be able to attend Summer Art Camp." *
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