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2. The Zionsville Parks Foundation recognizes that quality summer camp programs are important to your family health and strive to ensure every Zionsville child has an opportunity to attend. The Foundation offers financial assistance to residents who may face financial hardship in paying camp registration fees.  A limited number of scholarship funds are available for those who qualify.

   All information must be filled out below or the application will not be accepted. The information requested below is confidential and is necessary to determine the degree of need per applicant.

4. Camper Information
6. First Name*
7. Last Name*
9. Parent/Guardian First Name*
10. Parent/Guardian Last Name*
12. Address*
14. City*
15. State*
16. Zip Code*

18. You must be a Zionsville resident to apply for a Zionsville Parks Foundation Scholarship.

20. Number in household:*
22. I have an active MyRec account (a MyRec account is required for camp registration and can be completed at www.zionsvilleparksandrecreation.org)*

    1. Yes
    2. No
24. My child participates in the free and reduced benefits program through the school.*

    1. Yes
    2. No
26. Gross annual household income:*

    1. $0 – $32,000
    2. $32,001 – $49,446
    3. $49,447 – $60,000
    4. $60,001+
28. Camps I plan on registering my child for:

    1. Backyard Explorers Camp (Ages 4 – 5)
    2. My Grandparent and Me Camp (Ages 4 – 6)
    3. Nature Navigators Camp (Ages 6 – 8)
    4. Summer Adventures Camp (Ages 6 – 8)
    5. Animal Helpers Camp (Ages 6 – 8)
    6. STEAM Camp (Ages 6 – 8)
    7. Jedi Nature Camp (Ages 6 – 8)
    8. American Girl Camp (Ages 6 -12)
    9. Spy Kids Camp (Ages 9 – 12)
    10. Creek Camp (Ages 9 – 12)
    11. Scales and Slime Camp (Ages 9 – 12)
    12. Wilderness Adventure Camp (Ages 9 – 12)
    13. Art Adventures Camp (Ages 9 – 12)

30. This form does not guarantee registration in any camp but is used to determine the amount of scholarship approved. Camp registration opens on March 13 at noon.

32. Please confirm:*

    1. I hereby confirm that the information provided in the Zionsville Foundation Scholarship Program is accurate and I may be asked to provide supporting documentation.
    2. I understand that scholarship funding is limited and upon a partial award, I am responsible for payment of remaining registration fee.
    3. I understand that scholarship will be issued as a credit on my MyRec account to be used for camp registration by March 31.
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field