2013 Scholarship Application Scholarship funds are limited and awarded on a first-come, first-served basis to children with financial need who have not already registered for the program. Please fill out completely and send back to school with your child! Or email to twambeke@park6.k12.wy.us
Program Location: Eastside Elementary, Cody, WY
Program Dates: 6/10-6/14/2013
Parent or Guardian Name(s): Street Address: City:
State:
Zip Code:
Day Phone:
Evening Phone:
E-mail Address: Child’s Name: School Currently Attends:
Age:
M
Elementary
F Fall Grade Level: Date of Birth:
Please explain why you would like your child to attend the Camp Invention program:
Please explain the need for financial assistance:
Please list your child’s special needs and/or allergies:
Because funds are limited, we ask scholarship recipients to share in the costs of the registration fee. Please list what your contribution is towards your child’s registration.
TO HOLD YOUR CHILD’S SCHOLARSHIP PLEASE PAY YOUR CONTRIBUTION TOWARDS THE REGISTRATION.* Signature: PLEASE FILL OUT REGISTRATION FORM
Date:
Scholarship Program Terms Scholarship funds are awarded on a financial need and not academic basis. Scholarship funds are limited and are distributed on a first come-first serve basis.
* If a scholarship is not available for your child, your registration fees and scholarship form will be returned to you. © 2009 Invent Now, Inc. All rights reserved.