Financial Aid Application – Camp Winnarainbow

Camper 1

Name

First

Last

Birthdate

Nickname

Camper 2

Name

First

Last

Birthdate

Nickname

Camper 3

Name

First

Last

Birthdate

Nickname

General Info

Parent/Guardian Name(s)

First

Last

Relationship to Camper

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Co-Pay ($ per camper)

Amount you and other family members can contribute towards the camp fees.

Who is financially responsible for this camper?

Is this camper part of the foster care system?

Yes
No

Total Annual Household Income

Session for which your camper is applying

Please Rank your Session three Smiles for you first choice one smile for your last choice. we recommend a 1 week session for 7-8 year-olds. Two weeks is the maximum time for which we offer scholarship funding.

Age of Camper(s) on first day of Camp

Session A

Selected Value: 1

Monday, June 24 – Saturday, June 29 ($1300)

Session B

Selected Value: 1

Monday, July 1 – Saturday, July 13 ($2600)

Session C

Selected Value: 1

Monday, July 15 – Saturday, July 27 ($2600)

Session D

Selected Value: 1

Monday, July 29 – Saturday, August 3 ($1300)

Personal Statement

We require you to write a letter to the Screening Committee describing your child, your family’s financial need, and why you think Camp Winnarainbow would be a good match for your Camper.

Optional Additional Information

For community building and statistical purposes

Self Identified Ethnicity

Is this Camper associated with a homeless program?

Yes
No

Is this Camper associated with any First Nations Tribes?

Yes
No

Is this Camper associated with any Social Services or Government Aid Agency?

Yes
No

Does your Camper have a parent who is in prison?

Yes
No

Is there anything else you would like us to know?

Has your camper previously attended Camp Winnarainbow? Which years?