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Summary: Explore Camp Bursary Application
Please fill in each section / question to the best of your knowledge. Applications must be
fully completed in order to be considered. Should you require more space to answer the
questions please attach an extra piece of paper. If you are requesting assistance for more
than one child please complete a form for each one.
Applicant (Child) Information:
Last Name First Name Preferred Name
Birth date (yr/month/date) Sex: M F Phone Number
Address City Prov. Postal Code
Parent/Step-Parent/Sponsor/Legal Guardian Information
Last Name First Name Phone Number
Address: (if different from above) City Prov. Postal Code
How many children are in your care?
Parent Section
Explain why you require a bursary from the Explore Program?
How will Explore benefit your child?
How much financial assistance are you requesting?
Is there anything else you would like to tell us?
Declaration:
I hereby declare that all information given above is true and complete in every respect; that I have answered
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