Youth Programs and Camp Scholarship Application - Dungeness River Nature Center

DRNC Youth Programs & Camp Scholarship Application

We want to make our youth programs as accessible as possible. Scholarships are available on a first-come, first-served basis. If your application is approved, we will contact you by phone or email as indicated on your application. If we do not hear back from you, we may award the scholarship to another child.

Parent/Guardian Name(Required)

First Last

Participant Name(Required)

First Last

Age(Required)

Phone Number(Required)

Your Email Address(Required)

Your Mailing Address(Required)

Street Address Address Line 2 City State Zipcode

Does your child receive free or reduced lunch at school?(Required)

Yes

What program or camp is your child interested in attending?(Required)

How much assistance are you requesting?(Required)

If your child does not receive the requested amount, will they be able to attend?(Required)

Yes

Please complete the following questions to help us plan for your child's needs and strengths.

What is your child good at?(Required)

What do they love to do?(Required)

What can be difficult for your child?(Required)

What support can this program potentially provide?(Required)

Phone

This field is for validation purposes and should be left unchanged.

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