WildCare - Survey - WildCare Wildlife Camp Scholarship Request Form

WildCare wants to ensure that every child has a chance to participate in Wildlife Camp. If you feel that you will need financial assistance in order for your child to attend camp, please fill out and submit the form below.

Please note: your child is not enrolled in camp until you have received confirmation, either through email or over the phone from a WildCare staff member.

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Question - Required - Please check the box for the FIRST CHOICE Wildlife Camp session for which you are applying for a scholarship:

	Session 1A Growing Up Wild June 13-17 3.5 yrs-entering K (half day) Morning session
	Session 1B Growing Up Wild June 13-17 3.5 yrs-entering K (half day) Afternoon session
	Session 2 Animal Sense-sations June 20-24, 2022 Entering grades 1-2
	Session 3 Wild California June 27-July 1, 2022 Entering grades K-1
	Session 4 Secrets of Survival July 11-15, 2022 Entering grades 1-2
	Session 5 Conservation Camp July 18-22, 2022 Entering 3-5
	Session 6 Feathers, Fur, and Scales July 25-29, 2022 Entering grades 2-3
	Session 7 Weird and Wonderful August 1-5, 2022 Entering grades 1-2
	Session 8A Growing Up Wild August 8-12, 2022 3.5 yrs-entering K (half day) Morning session: 9:00am12:00pm
	Session 8B Growing Up Wild August 8-12 3.5 yrs-entering K - half day Afternoon session: 1:00pm4:00pm

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Question - Required - Please check the box for the FIRST CHOICE Wildlife Camp session for which you are applying for a scholarship:

Question - Not Required - Please check the box for the SECOND CHOICE Wildlife Camp session for which you are applying for a scholarship:

Question - Not Required - Please check the box for the THIRD CHOICE Wildlife Camp session for which you are applying for a scholarship:

Question - Not Required - Child's full name:

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Question - Required - Name child goes by

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Question - Required - Child's age:

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Question - Required - Child's grade:

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Question - Required - Child's School:

Please complete the following parent or guardian information:

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Name:

First Required	Last Required

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Email: Required

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Street 1: Required

Street 2:

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City/State/ZIP:

City Required	State Required	ZIP Required

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Phone Number: Required

Yes, I would like to receive e-mail from WildCare

Keep me logged in. What's this?

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Question - Required - Best way to reach you? (Phone/text/email)

Parent / Guardian 2 (Optional)

Name:

First Required	Last Required

Email:

Phone Number:

Yes, I would like to receive e-mail from WildCare

Keep me logged in. What's this?

Please answer the following questions. You will be contacted within five (5) business days
regarding your scholarship application.

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Question - Required - Gross annual household income including government assistance:

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Question - Required - The fee for this camp is $360. The minimum contribution you wil be required to pay is $50. How much can you afford to contribute?

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Question - Required - Please briefly describe your household's need for a scholarship:

Please read and indicate your agreement:

I understand that any portion of the camp fee I pay is nonrefundable.

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Question - Required - Please click below: I agree