2021 GMG Summer Camp Financial Aid Application

2021 GMG Teen & Jr Summer Camp Info:

Age Groups: GMG Teen (13-18 years old), GMG Jr (8-12 years old)

Dates: July 12-30, 2021 (3 weeks); Mon-Fri only

Hours:

GMG Jr: 10am - 2:45pm, see the GMG Jr Camp Agenda
GMG Teen: 10am - 3:30pm, see the GMG Teen Camp Agenda

Location: Online! :)

Time zones offered: EDT / PDT

Regular Tuition: $1,000

We are pleased to offer a 33% reduction in tuition (from $1,500 to $1000) sponsored by our industry partners PlayStation, Nintendo & Take Two Interactive for all camp participants!

Refund Policy: You are eligible for a full refund through June 27, 2021 and none thereafter

Financial Aid:

Up to 100% need-based scholarships are available upon request. Applications are processed on a first come first serve basis.

To submit a finaid application, please fill out the form below and email a proof of income or financial hardship to scholarship@girlsmakegames.com. Examples of proof of income include: tax returns, pay stubs, bank statements, etc. Please feel free to omit any sensitive information such as Social Security Numbers.

In the 6 years of GMG’s existence, we have never turned an applicant away, so please do not let cost be a limiting factor :)

Camp Information

Which 2021 Summer Camp would you like to apply for? *

Which time zone(s) would you like to apply for? You may apply for more than one time zone *

EDT - North America East Coast

PDT - North America West Coast

**Students are welcome to join *either* time zone regardless of their geographic location. Students in the UK, for example, may join the North America East Coast camp.

Participant Information

Participant First Name *

Participant Last Name *

Age *

School *

Does the participant have any friends they would like to group up with? (While each student makes their own game, we will form small groups of 5-6 for instruction and games hour)

Parent / Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name *

Phone Number *

*Alternate* Phone Number

Email Address *

*Alternate* Email Address *

City or State/Province *

Country *

Financial Aid Information

Please select one of the following: *

I am able to pay the full tuition, but only in installments.

I am able to pay partial tuition today.

I am able to pay partial tuition in installments.

I need 100% financial assistance.

If applicable, please list the amount you are able to pay *today*

If applicable, please list the amount you are able to pay *in total*

Are there any extenuating circumstances you would like us to know about?
Please use this space to mention anything we may have missed on the form.

GMG Camp T-shirt & Swag (Optional)

Student Tshirt Size
Size charts: Youth (S-XL) ; Adult (S-2XL)

Shipping Address:

First Name

Last Name

Street Address

Address Line 2

City

State/Province/Region

Zip/Postal Code

Phone Number

Country

Consent & Release

Photo & Video

Your child could be part of our promotional campaign or a press event! Girls Make Games staff may take and use photos and or videos of participants for publicity purposes. Photos and videos of our participants may be used on the Girls Make Games website, LearnDistrict website, Facebook, Twitter, other media, e-newsletters and any other publications. *

I hereby grant LearnDistrict / Girls Make Games permission to use my, or my child's likeness, name, voice and words in any broadcast, telecast or print media account of this event or activity.

I hereby grant LearnDistrict / Girls Make Games permission to photograph my child in *group settings without name or identification* in any broadcast, telecast or print media account of this event or activity.

I do not want my child photographed in any form

Participant Release

Release: *

I hereby give my permission for my child to participate in the program, and any and all of its activities, and agree to release, indemnify, and hold harmless LearnDistrict Inc. from and against any claim which I or my child or any other person may have for any losses, damages or injuries arising out of or in connection with my child's participation in the program.

Terms & Conditions

Please review the Girls Make Games Terms & Conditions here: https://www.girlsmakegames.com/terms-and-conditions

Terms & Conditions: *

I hereby acknowledge that I have read, understand and agree to the Terms and Conditions of this program.

Parent/Guardian Signature *

clear

Parent/Guardian Full Name *

Date Signed * +

Additional Information

How did you hear about the program? Select all that apply *

Would you like to join the Girls Make Games mailing list? Sign up to receive GMG news and updates. *

Yes

No

I'm already on it

Questions or comments for the GMG team?