Camp Financial Aid Request Form

The mission of Family Wellness is to inspire healthy lifestyles by connecting people in a fun environment. This mission drives us to provide healthy programming to the local community. Complete and submit this financial aid request form to see if you qualify for financial assistance for camps or programs. Completing this form does not guarantee your child a spot in camp. In order to ensure a spot is saved for your child a $50 deposit is required. Please submit only one application per family/household. 

How to Apply: Please submit the information listed below:

  1. Complete the digital application below or print the Financial Aid Request Form and email jessica.kasprzak@sanfordhealth.com
  2. Proof/letter of qualification of free or reduced lunches from your school

Camp Financial Aid Request Form

Parent's Name(Required)
Date of Birth(Required)
Your Address(Required)
Spouse/ 2nd Adult(Required)
Applicant Information(Required)
List all children in household in which you are applying for. Click the "cross" button on the right to add additional children.
First Name
Last Name
Date of Birth
Sex
School Attending
Camp that you are requesting assistance for
How much do you feel that you can pay for this Camp?
 
Does your child qualify for free or reduced lunches at school?(Required)
Please upload your proof/letter of qualification of free or reduced lunches from your school here.
Drop files here or
Max. file size: 500 MB.
    Are there any special circumstances that may qualify your family for financial assistance? (medical issues, life changing events, etc.)
    Applicant Signature(Required)
    In completing this application and signing it, I certify that all of the information supplied to Family Wellness is true, accurate and complete to the best of my knowledge.