Summer Camp 2021 Application
Applications close by May 31; Enrollment decisions will be announced by June 4. Visit musasv.org/summer-camp for more information or contact hannahs@musasv.org or 412-461-1800 with questions. You can also call to provide application information over the phone if you do not want to use this online form.

Participants that meet all of the priority criteria will be enrolled on a first-come, first-served basis and the application process may close early if capacity is reached. Participants who only meet some of the priority criteria are still encouraged to apply by the May 31 deadline.

Participation Requirements:
-Student will have graduated from Kindergarten by 6/18/21 and is at least 5 years old
-Student is age 12 or younger (students can attend until their 13th birthday)
-Student can use the bathroom alone
-Student can correctly wear a mask at all times (covering mouth AND nose)
-All required enrollment paperwork must be completed and returned by June 15
-One parent or caregiver must attend a 30-minute camp orientation meeting (offered in-person on June 17 @ 6pm or via a prerecorded video)

Priority enrollment for:
-Students who qualify for Child Care Works/CCIS subsidy or meet the income requirements for free/reduced school lunch (income levels listed at https://www.media.pa.gov/Pages/Education-Details.aspx?newsid=898)
-Students who live or attend school in Homestead, West Homestead, Munhall, Mckeesport, Braddock, Rankin, West Mifflin (Steel Valley region)
-Students who plan to attend regularly
-Families whose account with MUSA is in good standing--no outstanding balances from previous years
-Families who have signed up for Fund My Future

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Parent/Guardian Name (First & Last) *
Parent/Guardian Daytime Phone Number *
Parent/Guardian Email Address *
Child's Name *
Submit a separate application for each child
Child's Birthdate (Camp is only available for ages 5-12) *
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Child's Current Grade Level (as of Spring 2021) *
Can your child correctly wear a mask and use the bathroom independently? *
A 30-minute camp orientation meeting for parents/guardians is required. *
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