Spina Bifida Coalition of Cincinnati

 

Camp and Recreation Scholarship Application

 

To encourage families to enroll children and adults with spina bifida in community-based recreational activities, the Spina Bifida Coalition of Cincinnati offers individuals living in our service area up to $300 for program fees each calendar year.

 

Some examples of programs that are eligible:

  • Scout Camps
  • Specialized Camps for those with Disabilities
  • Recreational Programs
  • Art Therapy Camp
  • Adapted Sports Programs or Lessons

Person Participating in Program

Name of Participant
Date of Birth
County

Form Completed By:

Country
State / Province*
Address
City
Email*
Confirm Email*
Phone

Program Information

Contact Name and Phone or Email
To Whom Should We Write the Check
Mailing Address of the Camp or Program
Date of Camp or Program
Amount Requested

This form must be submitted with supporting documentation (registration form or invoice) prior to the start of camp or activity. Invoices or receipts can be emailed to sbccincy@sbccincy.org or faxed to 513-914-4931. An acknowledgement will be sent to you when a payment has been made. Camp scholarships are limited and are offered on a first come, first served basis, annually.

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