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RC4G Subsidy Fund - Deadline for application June 1, 2011

The 2011 full registration fees are $225 for RC4G. 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, 2011.

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
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, 2011.

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
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RC4G 2011 Subsidy Application Form
CAMPER AND SESSION INFORMATION
Camper name:
Camper has applied to attend:
Session 1: August 8-12
Session 2: August 15-19
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.)