Alexandria Summer Camp Scholarship Application

To be filled out by parent or guardian:

Date Today (mm/dd/yyyy): *This question is required.

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Camper's Name: *This question is required.

Name of Parent or Guardian: *This question is required.

Address: *This question is required.

City: *This question is required.

State: *This question is required.

Zip: *This question is required.

Daytime Telephone: *This question is required.

Evening Telephone: *This question is required.

Email Address: *This question is required. This question requires a valid email address.

Place of Employment: *This question is required.

Occupation: *This question is required.

Please check one: *This question is required.Annual Household Income:

Household Information

Number in household: *This question is required.

Number of children under 18: *This question is required.

Additional Comments:

Please include a letter of intent from the summer camp applicant explaining why he or she wishes to attend camp, and a letter of recommendation from the applicant's teacher, guidance counselor, or school advisor. All letters are due by Thursday, June 1. *This question is required.File size must not exceed 4MB. We accept docx, doc, txt, xls, xlsx, pdf , jpg, gif, png files.

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Alexandria Summer Camp Scholarship Application

APPLICANT INFORMATION