DISCOVER A CIVILIZATION THIS SUMMER!

2008 Scholarship form

 
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Scholarships to City Camp reduce the tuition of Summer sessions to $199 and waive the entire cost of extended care. Please complete this form to apply for a scholarship. In addition, please fill out a City Camp Registration Form - either a written form or online at www.citycamp.net.

  CAMPER INFORMATION

Name:                                                                                                           Gender: BOY   GIRL

Age:                           Grade Entering Fall 2008:                                   School:                                 

Home Street Address:                                                                                                                            

City:                                                               State:                                                 Zip:                           

Home Phone:                                                                      Alternate Phone:                                       

Parent Name:                                                                      Contact email:                                           

Annual household income level:                                                                                                          

Please describe how attending City Camp would benefit the camper who is applying for this scholarship:

Please send this scholarship form to:

City Camp, 1429 Oxford St., Berkeley, CA, 94709

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