The Red Apple Fund
Summer Art Camp Grant Application Form
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Please complete the below application and return to the Museum by April 16, 2012. One form per child
Questions? Contact Saralyn Rosenfield at 302.571.9590 ext. 504 or redapple@delart.org.
 

Child & Parent/Guardian(s) Information

First Session Choice: Second Session Choice:
Session 1: The Great Outdoors, June 18 – 29 , 2012 Session 1: The Great Outdoors, June 18 – 29 , 2012
Session 2: The Artist’s Toolbox, July 2 – 13, 2012 (no camp July 4) Session 2: The Artist’s Toolbox, July 2 – 13, 2012 (no camp July 4)
Session 3: Animal Tales, July 16 – 27, 2012 Session 3: Animal Tales, July 16 – 27, 2012
Session 4: Faces and Places, July 30 – August 10, 2012 Session 4: Faces and Places, July 30 – August 10, 2012
If your application is not accepted, do you wish to hold a spot and pay for the camp session of your choice after notification is received?  ______Yes ______No
Child's Name:
Parent/Guardian Name(s):
Street Address 1:
 City:
Street Address 2:
 State:
 Zip:
Home Phone:
 Work Phone: E-mail:
Cell Phone: Number of Children: Marital Status:
Household Income: Relationship to Child:
Have you received Red Apple funding before?  ______Yes ______No
If so, when and for what class?

Emergency Contact Information

Name:
Phone:
Alternate Phone:
Payment in full must accompany registration unless applying for a Red Apple Fund Summer Art Camp Grant. If applying for a Summer Art Camp Grant, the parent/guardian will be notified whether one has been awarded by the week of April 25 -27, 2012. If partial funding or no funding is awarded, payment will be requested at this time. The parent/guardian may also choose to cancel the registration.
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Statement of Need (150 words maximum)