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Calculations Test Form
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Test - Calculations
2022 Income (take from line 11 of 2022 Form 1040)
(Required)
$0 - $75,000
$75,001 - $125,000
$125,001 - $175,000
$175,001 - $225,000
$225,001 +
Camp Tuition Amount (Please be very precise)
(Required)
If this is an eligible new camper, have you applied for a One Happy Camper, or PJ Goes to Camp grant?
Yes
No
Not Applicable (Please check this option if your child is not eligible)
Amount of expected support from One Happy Camper or PJ Goes to Camp grant
(Required)
$500
$750
$1000
$1500
Estimated Dollar Amount Covered By GMW
Additional Optional Financial Support
(Required)
Financial Support - Camp Discount/Scholarships
Financial Support - Temple/Synagogue
Financial Support - Personal/Other
None
Indicate the total amount of expected support from the camp including discounts and scholarships
(Required)
Amount of expected support from temple/synagogue for camp
(Required)
Amount of expected support from extended family/other sources for camp.
(Required)
(Required)
I am in agreement that this is an estimated amount that the Rocker Family Scholarship will contribute toward my child attending camp for summer 2024.
Total Estimated Due
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