Scholarship Form

1.

All 2010 Camps will cost $130 per child

Scholarships will be given to individuals on a case by case basis.

• A non-refundable camp registration fee of $20 is required for each camp. Register online at http://www.tincan.org/camps.htm

• Fill out one form per child

*
1. Parent's Contact Information

Parent's Contact Information Name
Address
City
State
Zip
Phone
Alternative Phone
Email

*
2. Child Attending Camp

Child Attending Camp Name
Age

*
3. Camps Planning to Attend

Camps Planning to Attend Advanced MultiMedia Fusion Video Game Development (June 21-25)

Video Game Development Boot Camp – Science topics (June 28- July 2)

Video Game Development Boot Camp – Science topics (July 26-30)

Video Production: Health District ( August 9-20)

*
4. Please briefly describe need for scholarship

Please briefly describe need for scholarship

*
5. Amount of Scholarship Requested

Amount of Scholarship Requested Full $130

Partial

Amount Requesting

Scholarship Form

1.

*1. Parent's Contact Information

*2. Child Attending Camp

*3. Camps Planning to Attend

*4. Please briefly describe need for scholarship

*5. Amount of Scholarship Requested

*
1. Parent's Contact Information

*
2. Child Attending Camp

*
3. Camps Planning to Attend

*
4. Please briefly describe need for scholarship

*
5. Amount of Scholarship Requested