Summer Scholarship Request – University Carillon Forms

Please complete the camp registration form BEFORE submitting this request. This form does NOT equal registration for the camp. If you have secured a spot through the camp registration, we will review your request.

We never want cost to be the reason a child can’t come. We’re happy to work with you!
Please use the form is you would like to coordinate a payment plan or would like to be considered for a scholarship. Some scholarships are available.

KIDS/SPORTS: If you have have any questions about scholarships, please don’t hesitate to reach out to Jesse and Megan at kids@universitycarillon.net.

PreK-K FUN CAMP: If you have have any questions about scholarships, please don’t hesitate to reach out to Jamie Deger at jamiedeger@universitycarillon.net.

EPIC YOUTH: If you have have any questions about scholarships, please don’t hesitate to reach out to Holly Fohr at holly@boredonsunday.com.

STEP 1: Please complete one request form per child/student.

CHILD/YOUTH INFO

student name

First Name *

Last Name *

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Age *

Upcoming Grade (23-24) *

PARENT/GUARDIAN INFO

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Parent/Guardian Name *

Cell *

Relationship *

Parent Email *

Email

Confirm Email

PAYMENT PLAN/SCHOLARSHIP REQUEST

This form does NOT equal registration for the camp.

FUN CAMPS — *We offer two weeks of the SAME CAMP to allow more kids to participate. Please choose one week.

Requesting Payment Plan/Scholarship for:

Type of Request *

I will pay full amount. I am requesting a payment plan.
I am requesting full scholarships.
I am requesting partial scholarship, I am able to pay $___ towards camps.

I am able to pay $___ *

dollar amount

Explanation for payment plan/scholarship request: *

*RELEASE

Submitting this on-line form will be the equivalent of signing a paper request form.

I have read and understand the above information. The information I have given University Carillon is accurate and true to the best of my knowledge.
My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper request form.
I understand I will be contacted via email regarding my request.

Release *

Yes, I agree

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Parent/Guardian Electronic Signature *

Date *

After submitting your form, WATCH FOR Confirmation Email.

One from our web specialist with the responses from your registration.