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Rivka Levy Camp Fund
A Project of
Kosher Certification
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Rivka Levy Camp Fund
A Project of
Kosher Certification
Welcome!
Guest
The scholarship is open to those residing in the following zip codes: 11213, 11225, 11203, 11216, 11212, 11233.
ATT: Camp Fund
391 Troy Ave
Brooklyn, NY 11213
Tel: (718) 756-7500 FAX: (718) 756-7503
OFFICE USE ONLY
September 30, 2023
APPLICATION NUMBER:
230422
Our scholarship deadline has been reached and applications are now closed for 2023
Family Information
Family Last Name:
Address:
City:
State: New York
Zipcode:
Home Telephone:
10 digit phone number required
Email:
Valid email address is required
Does your family need a scholarship?
Yes
No
Are you a single parent household?
Yes
No
Are you the child's custodial parent?
Yes
No
# of Children in Family:
Select Number of children:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Select Number of children applying
1
2
3
4
5
6
7
8
9
10
Name of Parent Completing this Application:
Cell Phone:
10 digit phone number required
Camp Information
Child 1
CHILD FIRST NAME ONLY:
Age:
Month 1
Camp Type:
Select camp type
Overnight Camp
Day Camp
None
Amount camp is charging you for month 1: $
Month 2
Camp Type:
Select camp type
Overnight Camp
Day Camp
None
Amount camp is charging you for month 2: $
CHOOSE 1 CAMP TO SEND THE TOTAL SCHOLARSHIP AMOUNT AWARDED TO YOUR FAMILY
Choose 1 camp to send the total scholarship amount awarded to your family
Notes:
Date:
Register
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