Volunteer Information

Camp Scholarship Form 2024

Full Scholarship Deadline: June 1, 2024

Scholarships are reviewed on a rolling basis

The Norman Bird Sanctuary strives to serve everyone in our community, regardless of financial circumstances. A limited number of full and partial scholarships are available.

Full scholarship applications must be received by June 1^st and applicants will be notified on or before June 15^th. The award is based upon need and the number of spaces available in camp programs. All information will be kept confidential.

Complete one form for each child that wishes to attend camp. All information must be completed in full.

* Required Fields

Parent/Guardian Information

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Preferred Method of Contact

Child's Information

First Name

Last Name

Gender

Birth Date

Age

School

Grade Entering in the Fall

Racial or Ethnic Identity

Preferred Camp

Please check preferred camp.

Fledglings (Ages 3.5 - 5)Nature Day (Grades K-4)Explorers (Grades 5-8)Coastal Camp (Grades 2-8)

* Please check preferred camp. is required.

If you are interested in more than one camp, rank preferences based upon the appropriate grade level.

Preferred Sessions

Please rank preference. For session themes and descriptions, please refer to our website. If the week(s) chosen are full, we will contact you to discuss other options. Sessions include: Session 1 (June 26 - 31) | Session 2 ( July 3 -8) | Session 3 (July 10 - 14) | Session 4 (July 17-21) | Session 5 (July 24 -28) | Session 6 (July 31 - August 4) | Session 7 (August 7 - 11) | Session 8 (August 14 - 18)

Family Income

Total number of Adults in the family

Total number of Children in family

Taxable Yearly Income for Family

Does your family qualify for free or reduced lunch?

Scholarship Request

Check the total amount you are able to pay per session * Check the total amount you are able to pay per session is required.

If you selected other for the above question, please share how much the parent/guardian can reasonably contribute

Camp Questionnaire

Please provide a Letter of Consideration detailing reason for application and any special circumstances

To the best of my knowledge, the information provided above is correct.

Signature of Parent/Guardian

Date

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.