Form Center

The sign-up or sign-in link in the yellow box below does not apply to Activity Registrations or Rentals. It is simply for being notified of JCPRD updates. Thank you.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Fee Allowance Application for Outdoor Summer Camp 2022

  1. Outdoor Camp You Child Attends*

    Please pick all camps that apply.

  2. Are you receiving: *
  3. I understand I cannot participate if I am currently receiving a CDBG Scholarship*
  4. I agree to receiving this fee subsidy through the end of summer camp*
  5. I understand that I will be reimbursed at the end of summer camp for the camp weeks that I am enrolled in*

    This is so we can make sure that we apply the fee subsidy to all weeks whether you are enrolled at this time or if you decide to add additional weeks throughout the summer.  

  6. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  7. Leave This Blank:

  8. This field is not part of the form submission.