2021 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.

For a description of our camp protocols in 2020, click here. As we approach the summer of 2021, we will continue to follow Department of Health, CDC, and American Camp Association best practices as we update our protocols for 2021.

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 19-23 Grant School (159 N. Clinton Ave) & Robbins School (283 Tyler St) - SESSION FULL
	July 26-30 Parker School (820 S Warren St) & Mott School (45 Stokely Ave)
	August 2-6 Monument School (145 Pennington Ave) & King School (401 Brunswick Ave)
	August 16-20 Washington School (331 Emory Ave) & Franklin School (200 William St)
	August 23-27 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. *