SoundWaters Vacation Adventure Program

Vacation Adventure Program - Financial Aid Form

Child's Name(Required)

First Last

Date of Birth(Required)

Parent/Guardian Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Child is Currently Attending:(Required)

Grade:(Required)

Annual Household Income:(Required)

Number of People in Household:(Required)

Are You Receiving Financial Aid From Any Government Assistance Programs? (Check All That Apply)(Required)

SNAP

Husky

Headstart

Other

Has Your Child Received A SoundWaters Scholarship in The Past? If Yes, Indicate Which Programs

Years Attended