Financial

Assistance Form

Thank you for considering JumpIn Camps this Summer and sharing with us your need of assistance for your family or your child to attend.

Please fill out the form so that we have a better understanding of your needs and how JumpIn may be able to assist is some way.

Parent/Guardian or Family Contact

First Name

Last Name

Phone

(###)

###

####

Email

Choose the camp in which you are needing assistance.

Summer Blast 6-8 years old

JumpIn All Day 8-111 and 12-14 years old

Family Camp

Family camp: please list ages of those in your family wanting to attend

Kids Camps: name of camper(s) needing assistance

Total Camp Cost

$

Total Applying For

$

What is the situation that put you in the place of needing financial aid camp.?

What fundraising has your family already done or is going to do.?

Have you asked friends and family for donations.

Yes

No

How much do you feel you could contribute to the cost of camp without fundraising?

We given a certain amount of scholarship money each year from generous donations. If you can contribute money through collecting cans, selling baked goods, asking family etc. it would allow us to share those donations to several campers or families.

$