Summer Camp 23’ Scholarship Request Form

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Old Oak Ranch- July 18th-22nd

IMPORTANT: THIS IS NOT A REGISTRATION PAGE. YOU STILL NEED TO REGISTER YOUR TEEN FOR CAMP AT YFCNOW.ORG/CAMP.

The total cost of camp is $499/student. We are asking all campers to cover, at a minimum, a $75 deposit fee, which will be paid at registration.

Fresno/Madera Youth For Christ is committed to offering scholarships to make this event accessible for individuals and/or families that demonstrate financial need. Please include information such as participation in government assistance programs, your family’s income, and/or other indicators or special circumstances of financial need. This information will remain confidential to the YFC staff on the review team.

Scholarships will be awarded based on available funds. This scholarship application does not guarantee registration, but we will make every effort to accommodate all needs that we may. If approved, you will need to register your student online at yfcnow.org/camp.

Please complete one form “per student.” If you are requesting scholarships for multiple youths, please note this information in the long response area below.

Participant Name (first & last) *

Parent/Guardian Name (first and last) *

Parent/Guardian Contact Email *

Parent/Guardian Contact Phone *

Does your family receive any of the following services? Check all that apply *

Nutrition Assistance Program (i.e. Free and Reduced Lunch, Snap, WIC, etc.)

Medicare of Medicaid

Subsidized Housing (HUD, Section 8, LIHTC, etc.)

None of the Above

Required

How many minor (persons under the age of 18) live at your home? *

What is your estimated annual household income? *

(PLEASE CHECK ONE) I am requesting: *

Partial Scholaship (indicate amount you are able to pay in the next question)

Full Scholarship (you can only pay the $75 deposit)

If you are requesting a partial scholarship, please indicate the amount you are able to pay.

Briefly describe your financial or special circumstances that you feel should be considered in this request and may not be represented by the questions above (ex. multiple students attending, recent loss of employment, etc.) *

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