PBHA Summer Urban Program Payment Plan and Scholarships Form 2022

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Thank you for enrolling your child(ren) in Phillips Brooks House Association’s Summer Urban Program! We are excited for the summer and look forward to working with you and your family this July and August. If you have any questions, please reach out to your camp directors.

Camp

Parent Guardian(s) Name(s):

Parent Guardian(s) Phone Number or Email

Name(s) and Age(s) of child(ren) enrolled at camp:

Camper Fees:

The registration fee per camper is $140 for the summer. Each additional sibling enrolled is $120 per child for the summer. (For example, if you have three children enrolled in camp, your total cost is $140 + $120 + $120 = $380). The fee will directly support program costs for a quality learning experience for your child.

As always, camper scholarships and payment plans are available to families who can demonstrate a documented need. All scholarship and payment plan requests must be submitted to the director by June 17 and will be reviewed by your camp’s Director of Programs and the Phillips Brooks House Association (PBHA) administration before approval.

Please indicate your family’s in the questions that follow.

Circumstance or reason(s) for payment plan or scholarship request that would be helpful for PBHA to know:

Payment Plan/Scholarship Request

My family would like to pay through an installment plan.

My family is requesting a camp scholarship.

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