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Town of Fairfax
Recreation
Camps
Summer Camp Scholarship
Summer Camp Scholarship
Guardian Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Phone
Child Name
(Required)
First
Last
Grade for upcoming school year
Scholarship Type
(Required)
Partial scholarship
Full scholarship
Your story
(Required)
Please explain extenuating circumstances related to your financial and/or emotional need.
Income
Gross monthly income (before taxes)
(Required)
$0-$30,000
$31,000-$60,000
$61,000-$90,000
$90,000 +
Do you receive child support income?
(Required)
Yes
No
Is either parent/guardian receiving unemployment or disability income?
(Required)
Yes
No
To verify your information, you must provide us with a copy of your most recent Federal Tax Return form. We only need the first 2 pages
Max. file size: 35 MB.
Household expenses
Monthly medical
(Required)
Monthly groceries
(Required)
Monthly housing
(Required)
Monthly auto
(Required)
Submit
Consent
(Required)
Scholarship Terms: The Town of Fairfax awards both partial and full scholarships based on the weekly/monthly rate. You will have to pay the remaining balance by the end of the camp or session.
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