
Scholarship Application- Deadline April 15
Camper’s First Name _______________Last Name __________________ Birthdate ____/____/___ Age _____ Grade just completed _______
Address
________________________________________ City
___________________ Zip ____________ Home Phone
____________________________________
Home email
________________________________________________________________________________________________________________
School attended this year_______________________________ Parent/Legal Guardian_______________________ Relationship to child ___________________
Gender: M/ F Mother Work # ___________________ Father Work # _______________________ Alternate cell # ____________________
Daytime Emergency # (if different from above) ________________________ Name of Person at Emergency #________________________________
Special Information about camper (medications, allergies, etc.): _______________________________________________________________________
Child's Health Insurance Company: _________________________________________ Policy #: _________________________________
Camper’s music experience _____________________________________________________________________________________________________________
Circle session(s)
child wishes to attend: Session
I Session II
Circle child’s t-shirt size:
Youth Sizes- Med./ Lg. Adult Sizes-
Sm./ Med./ Lg./ XL
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Parental
Information
Mother's Name _______________________ Occupation _______________ Father's Name _______________________ Occupation ____________________
Are parents married? yes no Previous Tax Year Annual Family Income ______________________________
1. Please explain why your child should be awarded a MusicMakers! Summer Camp scholarship. Include family situation, financial hardship, talent, exceptional interest, or any other pertinent information.
2. How much can you
realistically afford to pay for tuition? ___________
(Tuition is
$235/session or $440 for both sessions)
3. Are you seeking a
full or partial scholarship? ______________
SUBMISSION GUIDELINES:
Please attach copies of your previous 2 year's tax forms showing your family income, as well as any other pertinent information.
Mail (or drop off) completed packet to Nicole Greggs, MusicMakers! Camp Director, 4324 NW 67th Way, Coral Springs, FL 33067.
All applications must be received by April 15 to be eligible for consideration. Sorry; late applications cannot be considered.
Depending on enrollment, partial and full scholarships may be awarded on a need basis.
Scholarship recipients will be notified by May 15 and must submit acceptance via phone call, email or letter by June 1. Scholarship offers expire June 1 if not accepted.
Partial scholarship recipients must submit discounted tuition to Ms. Nicole by June 1.
Thank you for your interest in MusicMakers! Summer Camp!