Camper InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code School Currently Attending(Required) Current Grade Level(Required) Parent/Guardian InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) *Please note: The phone number and email listed above will be used to notify applicants of scholarship selection. Awardees will be notified once. Preferred Method of Contact Phone Email Relationship to Camper(Required) Camp of InterestPlease indicate your preferred camp sessions. Rank choices 1–4, with 1 being the most desired camp. If you are unavailable for a camp week, or if a camp does not apply, please select N/A.History CampGrades K-2nd & 3rd-5th (Completed grade during the 2024-2025 school year)If I Were a Kid in History (June 2-6)(Required)N/A1234Oh, the Places We’ll Play (June 9-13)(Required)N/A1234Eureka! (June 16-20)(Required)N/A1234The Whole Story (June 23-27)(Required)N/A1234Writing CampGrades 6th-8th (Completed grade during the 2024-2025 school year) More Than a Sidekick: Unleashing Character Potential (June 2-6)(Required)N/A1234The Sci-Fi Writer’s Guide to the Galaxy (June 9-13)(Required)N/A1234Tune In to TV Writing (June 16-20)(Required)N/A1234Achievement Unlocked: Writing for Video Games (June 23-27)(Required)N/A1234Upload Georgia Title I School and Free/Reduced Lunch VerificationMax. file size: 100 MB.Disclaimer and SignatureConsent(Required) I understand and agree to the following statements:• If awarded a summer camp scholarship, there is a $25 nonrefundable deposit to secure your reservation. Recipients will have 48 hours after notification to submit their deposit. • Parents/ Guardians are responsible for transporting campers to and from camp each day. AHC Summer Camp is located at 130 West Paces Ferry Road, Atlanta, GA, 30305. • Parents/ Guardians are responsible for supplying at least two (2) snacks and lunch for their camper each day. E-Signature(Required)