Hello!

Thank you for considering URGENT's YES Camp for your child(ren) this summer!

To be eligible for our camp scholarship, the camper must:

-Be a Miami-Dade County resident

-Attend the full 6-weeks of camp

-Commit to regular participation

-Not miss more than three (3) absences

Please note that scholarships are subject to the availability of funding. URGENT is committed to providing a high-quality, fun, and engaging camp experience for campers regardless of ability to pay.

Parent/Caregiver First and Last Name *

Email Address (Use the same email you used to register your camper) *

Cell Phone Number *

I completed the camp registration form and paid the registration fee. *

YES

NO, Not Yet

Can you confirm that your camper(s) be able to attend the full six weeks of camp? *

YES

NO NO

Number of Children Attending Camp *

Are any of these statements true for your family? *

Child Receives free or reduced-price lunch

Experiencing housing insecurity (ex. no permanent home, temporary housing, paying more than 30% of income on rent)

Experiencing economic insecurity (ex. working less than 40 hours a week, earning a low wage, etc.)

Military or Veteran Family

Foster Family/Care

Referred By Lotus Village

Referred By Florida Memorial University Referred By Florida Memorial University

Child(ren) Information

List All Children Attending Using Their Full First and Last Name (Do Not Use Nicknames) *

Scholarship Request

I can pay this amount for my child(ren) to attend camp: *

$0; Full Tuition Scholarship ($690 Scholarship Value)

$345; Partial Tuition Scholarship ($345 Scholarship Value)

$172; Partial Tuition Scholarship ($518 Scholarship Value) $172; Partial Tuition Scholarship ($518 Scholarship Value)

Please share 1-2 reasons why you would like your child to attend URGENT, Inc's summer camp. *

Volunteer Availability

Are you available to volunteer your time with the program? If yes, what days and times are you available between Monday-Friday, between 9am-5pm.

Days of the Week *

Half day AM *

Half day PM *

IF YES, How would you like to contribute to the program? *

Event Volunteer: Talent Show, Camp Showcase

Chaperone a Field Trip

Career Day Presenter

Donate snacks for the talent show and end-of-camp show

Fitness activities: dance, cheer, outdoor games, sports

Fundraising: ticket sales, donations, sponsorship

Arts activities: visual, performing, or media arts Arts activities: visual, performing, or media arts

Thank you for completing the scholarship application.

We will be in touch soon to confirm your scholarship.

Have a Question? Email emily@urgentinc.org or Call 305-915-3195.

www.urgentinc.org

Empowering Young Creative Minds to Transform Their Lives and Commnities

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