summer camp scholarship form

Child's Name*
Child's Date of Birth*
Parent/Guardian Contact Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Camp Options
Please note the top three camp choices for your child. Scholarships are given based on availability of the camp at the time the scholarship is approved. Camp preferences are not guaranteed.
Camp #1
Camp #2
Camp #3
Household Information
Have you received scholarship funds from the Greensboro Children's Museum in the past?*
- Yes
- No
Number of adults living in the household?*
Number of children living in the household?*
Please select the category which indicates the total family income for the previous year.*
Consent*
By submitting this form, I understand that if the child indicated above receives a summer camp scholarship, I am responsible for transportation to and from camp. Extended care during camp season is not available. I understand that the scholarship is not transferrable. The Greensboro Children's Museum will contact the parent or guardian of the scholarship reipient no later than two weeks prior to camp commencing. Please direct all inquiries to 336.574.2898 ext. 302 or summercamps@gcmuseum.com.

Parent/Guardian Contact Information