MB Camps 2018 Financial Aid Form

MB Camps

scholarship CHECKLIST 2018

Moses Brown School, Auxiliary Services 250 Lloyd Ave., Providence, RI 02906 401.831.7350 x296

Moses Brown Summer Camps offers a limited amount of assistance for qualified families experiencing financial hardship and is awarded on a first-come, first-serve basis. Camp scholarships are based on space availability and completion of documentation as well as availability of funds for the program. Application or previous award does not guarantee availability of financial assistance each year. This strictly confidential information will be made available only to those who are immediately concerned with the granting of scholarships. Applications with missing information and families with balances from previous seasons will not be considered for assistance. Although most of our aid is allocated towards RISE and Early RISErs Preschool camps, we will consider other camps as our funds allow. STEP 1: YOU MUST HAVE AN ONLINE CAMP ACCOUNT TO BE CONSIDERED FOR AID □ Visit mosesbrown.org/camps and create or update your online camp account. Be sure to include all children that will be applying to camp. Do not register for camps at this time. Reservations cannot be saved without payment, and we cannot refund payments submitted nor credit any potential financial aid to submitted payments. STEP 2: SEND THE FOLLOWING □ Completed scholarship form □ 2017 tax information including W2 forms □ Latest pay stub or certified information relating to your current income (if your expenses exceed your income, please explain on the back of the form how you cover the difference). Postal Mail: Moses Brown School, Auxiliary Services, 250 Lloyd Avenue, Providence, RI 02908 Fax: 401-455-0084 (you must include your name and ATTN: AUXILIARY SERVICES at the top of every page) We will contact you within 10 days of receiving all documents. (Any requests with missing information will not be considered for scholarship funds.) If funds are awarded, all camp registrations will require full payment or a payment plan. For specific financial aid questions, please contract Jennifer Rawson at 401.831.7350 x296 or jrawson@mosesbrown.org

MB Camps

scholarship application 2018

WHERE BEST FRIENDS ARE BORN

Moses Brown School, Auxiliary Services 250 Lloyd Ave., Providence, RI 02906 401.831.7350 x296

Age

Age Email City

State

Cell

Zip

Work Email City

State

Cell

Zip

Work

School Attending

Annual Education Expenses

1. 2. 3. Parent #1 Occupation

Annual Gross Income = $

Parent #2 Occupation

Annual Gross Income = $ Total Gross Income = $

Please provide total monthly net income (take home) for each parent. Parent #1:

Parent #2:

Other: (alimony, social security benefits, etc .) MONTHLY EXPENSES (specify) Item

Amount

Total $ Total Assets (home, vehicles, investments, other real estate)

$

Total Indebtedness (unpaid mortgages, loans, charge accounts)

$

Please fill in every line and use reverse side if you need more room or wish to give additional information. If your expenses exceed your income, please explain on the back of the form how you cover the difference

To the best of my knowledge all information reported on this form is complete and accurate. Signature

Date

MB Camps

Registration

WHERE BEST FRIENDS ARE BORN

RISE Camp

Early RISErs / Preschool

2018

Chess

Creative Computing

Digital Fabrication

Ages 5-14

Ages 10-14

Ages 9-12

Please note: multiple week discount after week two for RISE Camp and Preschool Camp

Ages 5-7 (Lower Camp)

Ages 3-4

Ages 8-14 (Upper Camp)

June 11-15 June 18-22 June 25-29 July 2-6 July 9-13 July 16-20 July 23-27 July 30-Aug. 3 Aug. 6-10

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

 Full Day

 Half Day

 Full Day

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

 Full Day

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

—

Tuition

Full Day 8:45 a.m. - 3:30 p.m.

 9 weeks - $2,300

 9 weeks - $2,008

 Full Day 8:45 a.m. - 3:00 p.m.

 Half Day 8:45 - 11:30 a.m.

 8 weeks - $2,138

 8 weeks - $1,865

$390 per week

$250 per week

$275 per week

 7 weeks - $1,957

 7 weeks - $1,706

 6 weeks - $1,755

 6 weeks - $1,529

 Half Day Morning 8:45 a.m. - 12:00 p.m.

Creative Computing Total $____________

Digital Fabrication Total $____________

 5 weeks - $1,531

 5 weeks - $1,332

$245 per week

 4 weeks - $1,279

 4 weeks - $1,113

 3 weeks - $1,000

 3 weeks - $870

 Half Day Afternoon 12:00 a.m. - 3:00 p.m.

 2 weeks - $690

 2 weeks - $600

$245 per week

 1 week - $345

 1 week - $300

Half Day Morning 8:45 a.m. - 12:30 p.m.

Half Day Afternoon 11:45 a.m. - 3:30 p.m.

Half Day Morning 8:45 a.m. - 12:30 p.m.

Half Day Afternoon 11:45 a.m. - 3:30 p.m.

T-Shirt Size:

 9 weeks - $1,306

 9 weeks - $1,242

Youth S ______

 8 weeks - $1,212

 8 weeks - $1,153

Youth M ______

 7 weeks - $1,108

 7 weeks - $1,054

 6 weeks - $993

 6 weeks - $944

Youth XL ______ Adult M ______

 5 weeks - $865

 5 weeks - $822

 4 weeks - $723

 4 weeks - $687

 3 weeks - $565

 3 weeks - $537

 2 weeks - $390

 2 weeks - $370

 1 week - $195

 1 week - $185

Please note built-in multi-week discount additional 10% each week starting week 3.

Subtotal $________________

Early Bird Discount $________________

Sibling Discount $________________

RISE Total $________________

Early RISErs Total $________________

Youth L ______

Chess Total $____________

TOTAL THIS PAGE $ ________________

discounts

• Early Bird Discount – RISE and Preschool camps only – for campers with registrations received by April 7, 2018 – $10/week FD, $5/week HD • Early Bird Discount – Chess Camp – $50 discount with a full-day registration before May 15, 2018 • Sibling Discount – RISE and Preschool – for siblings attending either of the two camps for the same number of weeks $10/week FD, $5/week HD (does not apply to first camper) • Sibling Discount – Lacrosse Camp (NOT Lacrosse Goalie or High School Lacrosse ) – for siblings attending the SAME camp for the SAME week – $25 day session $10 evening session (does not apply to first camper)

MB Camps

Registration

WHERE BEST FRIENDS ARE BORN

Down City Design Ages 8-11

June 11-15 June 18-22 June 25-29 July 2-6 July 9-13 July 16-20 July 23-27 July 30-Aug. 3 Aug. 6-10

Junior Engineers

Forensics Grades 5-6 & 7-8

Girls Leadership

Ages 9-12

Field Hockey

Grades 3-8

Football

Grades 1-12

2018

Lacrosse

Grades 4-7

Grades 2-8

—

 Evening

—

 Full Day: Grades 5/6

—

 Full Day

—

 Full Day: Grades 7/8

 Half Day

—

 Half Day

—

 Full Day: Level 1

 Full Day

—

 Half Day

—

 Full Day: Level 2

—

 Full Day

 Half Day

—

Tuition

 Half Day 8:45 - 11:30 a.m.

 Full Day 8:45 a.m. - 3:00 p.m.

 Half Day 8:45 - 11:30 a.m.

 Full Day

 Full Day 8:45 a.m. - 3:00 p.m.

 Evening 6:00 - 8:00 p.m.

$195 per week

$395 per week

$275 per week

$395 per week

$295 per week

$140 per week

Monday 8:00 a.m. - 3:00 p.m. Tues-Fri 8:45 a.m. - 3:00 p.m.

 Full Day 8:45 a.m. - 3:00 p.m. $420 per week

$435 per week

 Beginner  Defense  Attack  Goalie  Midfield  LSM

Sibling Discount $ ________ Down City Design Total $____________

Forensics Total $____________

Junior Engineers Total $____________

Girls Leadership Total $____________

Field Hockey Total $____________

TOTAL THIS PAGE $

Football Total $____________

Lacrosse Total $____________

________________

extended daycare (for all camps)

X-Day Morning 7:30-8:45 a.m. $45 per week

June 11-15 June 18-22 June 25-29 July 2-6 July 9-13 July 16-20 July 23-27 July 30-Aug. 3 August 6-10

_______ _______ _______ _______ _______ _______ _______ _______ _______

X-Day Afternoon 3:45-5:30 p.m. $65 per week _______ _______ _______ _______ _______ _______ _______ _______ _______

Limited Financial Aid available for Morning and Afternoon Extended Day We do not pro-rate for unused days

are established for an entire camp week. The safety of our campers is our primary concern. Part of insuring their safety is consistency of their attendance within the weeks they attend. Thus, we will not accept registration for partial weeks and cannot allow any mixed full-day or half-day registrations within a given week. Please call with any questions regarding this policy, which applies to all camps. tuitions

No deductions will be allowed for any unattended camp days.

MB Camps

Registration

WHERE BEST FRIENDS ARE BORN

Competitive HS Lacrosse

Lacrosse Goalie

Grades 9-12

June 11-15 June 18-22 June 25-29 July 2-6 July 9-13 July 16-20 July 23-27 July 30-Aug. 3 Aug. 6-10

Ages 8-17

Soccer Ages 4-5

HS Soccer Prep Ages 6-15

Ages 14-17

Ages 8-18

—

 Half Day

 Full Day

 Half Day

—

 Evening

—

 Half Day

 Full Day

 Half Day

—

 Half Day

—

 Full Day

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

—

 Half Day

 Full Day

 Half Day

 Evening

—

 Half Day

 Evening

—

Tuition

 Evening 4:00 - 6:30 p.m.

 Full Day 8:45 a.m. - 3:00 p.m.

 Half Day 8:45 - 11:30 a.m.

 Full Day 8:45 a.m. - 3:00 p.m.

 Half Day 8:45 - 11:30 a.m.

 Evenings 5:30 - 7:00 p.m.

 Half Day 8:45 - 11:30 a.m.

Mon-Thurs only

Mon-Wed only

$195 per week

$295 per week

$195 per week

$290 per week

Mon, Wed, Fri only 6 days total (2 weeks)

$245 per week

$250 per week

Tuition will be reduced the week of July 4: Half Day by $39, Full Day by $59

Down City Design Total $____________

Lacrosse Goalie Total $____________

Tennis

$190 per week

Soccer HS Soccer Prep Total $__________ Total $_________

Squash Total $____________

Track & Field

Ages 5-14

June 11-15 June 18-22 June 25-29 July 2-6 July 9-13 July 16-20 July 23-27 July 30-Aug. 3 Aug. 6-10

Squash

—

N/A

Ages 7-13

 Half Day

 Full Day

LUNCH

 Half Day

—

 Half Day

—

A nutritious and delicious weekly lunch plan served Monday - Friday. Vegetarian

 Half Day

—

and Gluten Free options available every day. Lunches are tree-nut free. (Preschool does not participate in our lunch program)

 Half Day

 Full Day

 Half Day

—

Fee $25 per week (we do not prorate for unused days)

 Half Day

—

For more information and to sign up, please visit mosesbrown.org/camps.

 Half Day

2018

 Full Day

 Half Day

Tuition

You may register for the bus online. Moses Brown will provide supervision on every bus, but NOT at every bus

 Half Day 8:45 a.m. - 12:00 p.m.

 Full Day 8:45 a.m. - 3:00 p.m.

stop. Parents/guardians are expected to supervise their children until they board the bus. For schedules and to

$225 per week

$295 per week

Tuition will be reduced the week of July 4 by $45

Tennis Total $____________

 Half Day 8:45 a.m. - 11:30 p.m. $195 per week

Track & Field Total $____________

GRAND TOTAL $________________

transportation

sign up, please visit mosesbrown.org/camps. Busing is a weekly service, and we do not pro-rate for unused days. Fee $55 per week Barrington Bus - Barrington Congregational Church Southern Bus - Showcase Warwick, Garden City, and Rhodes Elementary School

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