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RC4G REGISTRATION FEE SUBSIDY APPLICATION

Full registration fees for RC4G 2013 are $225. RC4G Peterborough operates on a very tight
budget and relies heavily on donations of volunteer time and gear, so we ask those who can
afford to pay the full fee to do so.

However, we know that not everyone can afford these fees. Thanks to the generous support
of our community and our very successful Women’s Rock Weekend events, we are able to
offer a limited number of registration fee subsidies for RC4G participants.
The deadline for
application is June 1, 2013.

In order to make our fund available to as many girls as possible, we encourage anyone in
need of financial assistance to first investigate other avenues of support. For example, the
City of Peterborough offers a recreation subsidy to qualified individuals that can be used for
Rock Camp registration. (Contact the City of Peterborough Recreation Department at 742-
7777 ext 1827.) Other municipalities and agencies may offer similar programs.

RC4G’s registration fee subsidy is available on a sliding scale, depending on need. We do
not ask for any formal documentation to establish your financial situation, so we rely on you
to honestly assess your financial situation and to pay what you can afford. If you do require
a full subsidy, however, don’t hesitate to request it.

We'll do our best to provide all needed financial support, but due to the limited size of our
fund we may have to turn down some requests or offer subsidy at a lower level than
requested. We will inform applicants of their success by June 15.

Subsidy request guidelines:

Household income less than $20,000 - request full subsidy or pay what you can
Household income less than $40,000 - pwyc or request full subsidy if needed
Household income over $40,000 - pay full fee or pay what you can
Household income over $80,000 - pay full fee unless extenuating circumstances

If you have questions, contact us at
rc4gpeterborough@gmail.com.
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RC4G 2013 Subsidy Application Form
CAMPER AND SESSION INFORMATION
Camper name:
Camper has applied to attend:
Session 1: August 12-16
Session 2: August 19-23
FINANCIAL INFORMATION
Estimated annual household income
Number of adults in household:
Number of children in household:
What portion of the registration fee are you able to pay?
$175.00
$150.00
$100.00
$50.00
$25.00
Other amount:
Do you need the $50 deposit fee waived?
Yes
If needed, feel free to give us more information explaining your financial situation.
CONTACT INFORMATION
Name of parent/guardian:
Contact phone:
Email address:
VERIFICATION
I verify that the information provided here is truthful and accurate to the best of my knowledge.
NEED MORE INFORMATION?
If you need more information or have questions, let us know. We'll get back to you as quickly as
possible. (Or call us at 705-748-4987.)