Summer Camp - Salem - Scholarship

Oregon Humane Society believes in providing opportunities for children to be able to attend our programs. All scholarship applications are processed on a first-come, first served and financial need basis. The information requested on this form is confidential and is necessary to help determine the degree of need for each applicant.

URL

This field is for validation purposes and should be left unchanged.

Child's Name(Required)

First Last

Age(Required)

Grade in Sept.(Required)

Please select which Camp you are applying for(Required)

Please choose sessions based on your child’s grade in Fall 2026. PLEASE Select as many session as you are available for

Session 1 July 6-10 GRADES 3/4

Session 2 July 13-17 GRADES 5/6

Session 3 July 20-24 GRADES 6-8

Session 4 July 27- 31 GRADES 3/4

Session 5 Aug 3-7 GRADES 4-6

Session 6 Aug 10-14 GRADES 3-5

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Enter Email Confirm Email

Parent/Guardian Phone(Required)

How many people are in your household(Required)

What is the total monthly gross family income(Required)

Please explain the circumstances that make this scholarship request necessary and how it will benefit your child(Required)

Parent/Guardian Signature(Required)

I hereby certify that I am the parent/guardian of the camper named above, and that my name as it appears above is intended for purposes of this form to be my genuine signature and acknowledgment of this document

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