subject_line
Convention Scholarship Application
PLEASE NOTE:
Every item checked below must be uploaded with your application. If the application is incomplete it will not be considered. The convention fees are included to assist you in deciding what scholarship support to request. We are trying to assist as many families as possible so please be selective in what you request assistance for.
√ Most recent tax return (if after April 15 the current year return is required)
√ Include w2’s and all attachments required with your tax return
√ A letter of extenuating circumstances (if necessary)
√ Completed scholarship application
All requirements must be submitted to MAGIC by May 24, 2024
Convention Scholarship Application
Applicant's First Name
*
Applicant's Last Name
*
Disorder
*
AGHD
CAH
Cushings
GHD
MAS
ONH
PAN
RSS
SGA
TEMPLE
OTHER
Address Line 1
*
Address Line 2
City
*
State/Province/Region
*
Zip/Postal Code
*
Phone Number
*
Country
*
Applicant's Email Address
*
Total number of adults attending
*
Total number of kids attending
*
Registration Fee
Registration fee is $150 per family
How many total people are attending?
*
1
2
3
4
5
6
7
8
9
10
Hotel
$138.75 is the cost of the hotel room (with tax), per night.
Choose the nights you are requesting assistance for
*
Thursday Only
Thursday and Friday
Thursday, Friday and Saturday
Childcare
Please enter the amount of children you need assistance for. The cost for childcare is $55 per child, per day.
Friday Childcare/Kid's Camp
1
2
3
4
Saturday Childcare/Kid's Camp
1
2
3
4
Thriving Under the Big Top Carnival (Friday)
Please choose how many people you're requesting assistance for. The cost for dinners are as follows: $18 for ages 12+, $12 for ages 3-11, children under 2 are free.
Ages 12 and older
1
2
3
4
Ages 3-11
1
2
3
4
Ages 2 and under
1
2
3
4
Bingo Bonanza (Saturday)
Please choose how many people you're requesting assistance for
Ages 12 and older
1
2
3
4
Ages 3-11
1
2
3
4
Ages 2 and under
1
2
3
4
Current Total:
$0.00
Calculate
Please upload your most recent tax return
*
Please upload W2's and all attachments required with your tax return
*
Please upload a letter of extenuating circumstances (if necessary)
By submitting this application you agree to and acknowledge that all information provided with the application is accurate and true.