Scholarship Request Form

Please fill out this form and click submit.

Camper Information

Name

*

Date of Birth

*

Gender

*

Please select one option.

Male Female

Grade Level

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Parent/Guardian Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Scholarship Questions

Which program are you requesting assistance with?

*

Please select one option.

EPIC Sports Camp (ESC) EPIC Creative Camp

How much support are you requesting?

*

Please select one option.

25% 50% 100%

Please give a short description of why you are requesting assistance and how it will be beneficial for your child to attend camp.

*

Description

Please fill out this form and click submit.

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