Application for SBC Financial Assistance Please fill out this form if you would like to be considered for Financial Assistance for El Grupo's Summer Bike Camps. Unfortunately, we have more people asking for scholarships than we have funds available. We will base the awarding of scholarships on student need and enthusiasm. Thanks for your interest in El Grupo's Summer Bike Camp! Child's Name First Last AgeParent's Name(s) First Last Parent's Name(s) First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneEmail T-Shirt Size for ChildSBC Session*June 4-8, 2018June 11-15, 2018June 18-22, 2018Please choose the session your child would like to attend.Do you want to participate in the extended day nutrition camp?* YES NO "Fueling the Fun" run by TMC is an optional extended camp from 12:30 - 4:30pm on Monday through Thursday, only. Friday still ends at 12:30pmSchool Attended and Grade Level for the current School Year?What food allergies or preferences should we know about?Does your child qualify for "Free or Reduced Lunch" at school?* YES NO The cost of SBC is $175. How much are you able and willing to pay?We reserve the right to request a different amount than listed here based on available resources. The cost of the Extended "Fueling the Fun" Camp is $40. How much are you able and willing to pay?We reserve the right to request a different amount than listed here based on available resources. Questions for Potential Camper1. Why do you want to attend Summer Bike Camp?2. What is one thing you really hope to learn at Summer Bike Camp?Paragraph from Parent(s)Please describe your child's need for financial assistance to participate in Summer Bike Camp. This iframe contains the logic required to handle Ajax powered Gravity Forms.