For-Mar Nature Day Camp Scholarship Assistance Application For-Mar Nature Day Camp 2026 Scholarship Application Application Procedure Requirements: (Fill out ONE form per family—please print clearly) Complete ALL sections on both sides of this Scholarship form. Submit a copy of the first 2 pages of your 2024 or 2025 Federal Tax Form (1040). If parent/guardian is not required to file taxes, please provide an IRS verification letter by calling 1-800-829-1040 OR visiting www.irs.gov/individuals/get-transcript. Provide a front and back side copy of the Parent/Guardian Driver’s License or State ID. Applications will be accepted by email to [email protected], OR mailed/dropped off in person to the Parks Administration Building at 5045 Stanley Rd. Flint, MI 48506. If Camp Registration fees are not covered in full, the remaining balance will be due 3 weeks prior to the start of that camp week. Failure will result in automatic forfeiture of camp spot and scholarship assistance for that week. Camper(s) Name(s)(Required) First Last Parent or Guardian Name 1(Required) First Last Parent or Guardian Name 2 First Last Household Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Place of Employment for Parent/Guardian 1(Required)Place of Employment for Parent/Guardian 2Number of people living in your Household(Required)Number of campers planning on attending camp(Required)Monthly Employment Income: Parent or Guardian's Name 1 – Total Monthly Employment Income:(Required)Parent or Guardian's Name 2 – Total Monthly Employment Income:Other Family Income: UnemploymentEnter $ AmountChild SupportEnter $ AmountDisabilityEnter $ AmountSNAPEnter $ AmountAFDCEnter $ AmountAlimonyEnter $ AmountSSIEnter $ AmountWICEnter $ AmountOtherEnter $ AmountPlease note: Camp availability is based on a lottery system. To be considered for a scholarship, the Scholarship Application Form and ALL of the required documents listed on the front must be turned in. Scholarship Applications will be accepted March 1 – 15, 2026. Additional Scholarships could be granted afterwards, as long as funds remain available. Scholarship decisions will be made after March 15, 2026 and you will be contacted. Camp week availability is NOT GUARANTEED. For-Mar Nature Day Camp 2026 registration opens to the public April 1, 2026. CAMPER'S FIRST AND LAST NAME(Required)CAMPER BIRTHDATE (MM/DD/YYYY)(Required) MM slash DD slash YYYY PLEASE CHECK THE WEEK(S) OF CAMP EACH CAMPER IS INTERESTED IN ATTENDING(Required) Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Select AllCAMPER'S FIRST AND LAST NAMECAMPER BIRTHDATE (MM/DD/YYYY) MM slash DD slash YYYY PLEASE CHECK THE WEEK(S) OF CAMP EACH CAMPER IS INTERESTED IN ATTENDING Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Select AllCAMPER'S FIRST AND LAST NAMECAMPER BIRTHDATE (MM/DD/YYYY) MM slash DD slash YYYY PLEASE CHECK THE WEEK(S) OF CAMP EACH CAMPER IS INTERESTED IN ATTENDING Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Select AllCAMPER'S FIRST AND LAST NAMECAMPER BIRTHDATE (MM/DD/YYYY) MM slash DD slash YYYY PLEASE CHECK THE WEEK(S) OF CAMP EACH CAMPER IS INTERESTED IN ATTENDING Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Select AllAre there any other special circumstances that affect your ability to pay for camp? Please provide as much detail as possible, including dollar amounts, or any documentation you feel would be helpful. The Genesee County Parks does not discriminate with regard to race, religion, height, weight, sex, marital status, familial status, creed, color, handicap, age, or national origin. Extenuating circumstances affecting living expenses (i.e., medical expenses, debt, etc.) will also be considered. By signing this application, I certify the information I have provided on this form is true and complete. Parent or Guardian Name 1(Required) First Last Signature(Required) Check box to signDate(Required) MM slash DD slash YYYY Parent or Guardian Name 2 First Last Signature Check box to signDate MM slash DD slash YYYY
