Summer Camp 2020: Scholarship Application

About You & Your Camper

1. Your Name *This question is required.

2. Camper's Name *This question is required.

3. Camper's Birthdate *This question is required. This question requires a valid date format of MM/DD/YYYY.

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4. Street Address *This question is required.

5. City + State *This question is required.

6. Zip/Postal Code *This question is required.

7. Phone Number *This question is required.

8. Email Address *This question is required. This question requires a valid email address.

9. Would you like to receive emails from the museum?