2023 Parks Scholarship Application - Summer Life

In order to share the results of your application, the County requires at least one form of contact information where staff can reach you. Which form of contact information would you like to share?

I verify and certify that I am a Pierce County resident based on my address above.

Please select the number of members in your family

Pierce County Parks is providing scholarships to families that are considered low-income based on family size and yearly income, according to the chart above.

Per the above chart, based on my family size and annual income, I attest and certify that I am eligible for a scholarship.

Does anyone in your family qualify for Free and Reduced Price Lunch?

I certify that all of the above information is true and correct, that I reside within Pierce County jurisdictional boundaries and that my self-reported income eligibility is accurate. I understand that this information is being given for purposes of obtaining reduced-fee services and that Pierce County Parks may verify the information on this application; deliberate misrepresentation of the information may subject me to prosecution under applicable state and federal laws. I certify that my request meets the guidelines provided by Pierce County Parks.

I have read and understand all terms associated with the scholarship program. I understand this request expires December 31st of this calendar year and renewal may be required for subsequent years.

I agree to using a digital signature and the typed signature above is binding.