Financial Aid APplication

Camp Urban Adamah Financial Aid Application

IMPORTANT: Financial Aid applications must include income and all other information from all of the parents or guardians that have financial responsibility for the camper(s). Aid awards are based on the combined financial positions of all the parents and guardians, the relative need of others in the pool, and the amount of money available to be awarded as aid. 

Parent/Guardian Information

First and Last



Financial Aid Request

Please fill out financial aid requests for each camper separately.

First and Last


Please calculate the cost of camp based on your selections above

Total cost of camp less the amount you can pay
Tax Return Information

Please use your 2017 Federal Tax Forms to complete this section. If you have not filed 2017 taxes, you may use your 2016 tax information.
Line 37
List non-taxable income from payments to tax deferred pension and savings plans, pre-tax contributions to a flexible spending or dependent care plan, child support, social security benefits, or any other untaxed income and benefits.

Additional Financial Information
Stocks, bonds, mutual funds, 529 plans, trusts, etc. Value as of 12/31/16.


Parent/Guardian Education Expenses



Tuition less financial assistance



Tuition less financial assistance

Other Considerations