State

Factory Makers Summer Camp
Scholarship Application

To apply for a Factory makers scholarship, sponsored by the Kiwanis Club of Rutherfordton, please complete the form below. Applicants are selected randomly by lottery. If your child is selected, you will be contacted by phone. Please note, depending on the number of applications received, there may be multiple phases/opportunities for selection.

Date of Application

Parent/Guardian Information:

Parent/Guardian First Name

Parent/Guardian Last Name

Street Address

City

State

Zip Code

Phone

Alt. Phone

Parent/Guardian Place of Employment

Child Information:

Child First Name

Child Last Name

Child Age

Child School

Child Grade

What Workshops are your child interested in?

SPRINT Week One

SPRINT Week Two

Thank you for applying! If your child is selected for a scholarship you will be contacted by phone two weeks prior to your camp of interest.

Explorations and Adventures for All Ages

CALL US: (828) 286-2120

Factory Makers Summer Camp
Scholarship Application

Parent/Guardian Information:

Child Information:

Factory Makers Summer Camp Scholarship Application

Parent/Guardian Information:

Child Information:

Factory Makers Summer Camp
Scholarship Application