2020 Summer Camp Scholarship Application

Are you interested in a Summer Camp Scholarship at Fernbrook Farms!?

Please complete the application and if you have any questions, please don't hesitate to call us (609-298-4028).

To be eligilble, your child must qualify for free/reduced lunch and live in Trenton or surrounding area.

For a description of our camp protocols in 2020, click here.

Is your child eligible for free/reduced lunch? *

Is your child from Trenton or surrounding area? *

Scholarships are available for one week of camp per summer.

Due to COVID-19, Transportation WILL NOT BE provided to or from camp this summer.

Families are responsible for picking-up/dropping-off their children from our summer camp facility this year in order to attend camp.

Morning Drop off Times are between 8:15-8:45 AM

Afternoon Pick Up Times are between 4:00-4:15 PM

We do have Before and Aftercare Programs available for a fee.

Please contact stacy@fernbrookfarms.com if you need further assistance.

Please rank the following weeks/pick-up locations in order of preference. Selections will be based on a first-come, first-served basis. If your first choice has already been filled, we will contact you.

	July 20-24
	July 27-31
	August 3-7
	August 10-14
	August 17-21
	August 24-28

Camper Information

First Name *

Last Name *

Age (during camp) *

Birthday (mm/dd/yy) *

Sex: *

School *

Grade (next fall) *

Previous summers at Fernbrook *

Photo Agreement * 🛈

Parent/Guardian Information

Parent/Guardian #1 Contact Information:

First Name *

Last Name *

Primary Phone # *

Secondary Phone Number *

Email Address *

Confirm Email Address *

Street Address *

City *

State *

Zip Code *

Address Line 2

Employer *

Parent/Guardian #2 Contact Information:

First Name

Last Name

Primary Phone #

Secondary Phone Number

Email Address

Confirm Email Address

Street Address (If different from above.)

City

State

Zip Code

Address Line 2

Employer

Emergency Contact Information (Please provide a different person than listed above):

First Name *

Last Name *

Relationship to You *

Primary Phone Number *

Secondary Phone Number *

How did you hear about Fernbrook Farms' Summer Camp Scholarships? *

Camper Medical Information

If not applicable, please indicate N/A in the related field.

Please list all known allergies and treatment if exposed. *

Please list any behavioral or other pertinent information Fernbrook staff should know to ensure your child has a positive camp experience. *

Please list any past medical treatments that would pertain to your child's success at camp. *