Scholarship Application

Camper's First Name

Camper's Last Name

Camper's Date of Birth

Age at Time of Camp

For which service are you seeking a scholarship?

Summer Camp ($300 per week for standard camp; $400 per week for horse immersion)

School holiday Mini Camp ($45 per day for standard camp; $60 per day for horse immersion)

After School (prices vary)

Other

Please be aware that extended care for Summer Camp and Mini Camps are an additional $15 per day and may not be subject to a scholarship.

Parent/Guardian First Name

Cell Phone

Street Address

Parent/Guardian Last Name

Parent/Guardian Email

Home Phone

Apt/Ste

City

Work Phone

State

Zip

Camp dates for which scholarship is being requested

Type of scholarship requested

Straight Scholarship

Barter

Please explain circumstances related to your financial need

I am available to help at one or more of the scholarship fundraising festivals that occur throughout the year

Yes