2023 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. Scholarships are available for campers ages 6-11 only.

Is your child eligible for free/reduced lunch? *

Is your child from Trenton or surrounding area? *

Van Transportation will be available this summer at our schools listed below for camp! Van timing will be sent to you upon approval of scholarship application. Please contact stacy@fernbrookfarms.com with any transportation questions or concerns.

Thank you!

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 17-21 Grant School (159 N. Clinton Ave) & Robbins School (283 Tyler St)
	July 24-28 Parker School (820 S Warren St) & Mott School (45 Stokely Ave)
	SESSION FULL: August 14-18 Washington School (331 Emory Ave) & Franklin School (200 William St)
	August 21-25 PJ Hill School (1010 E. State St.) & Wilson School (175 Girard Ave)

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. *