Camper InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code School Currently Attending(Required)Current Grade Level(Required)Parent/Guardian InformationName(Required) First Middle Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Email(Required) *Please note: The phone number and email listed above will be used to notify applicants of scholarship selection. Awardees will be notified once. Preferred Method of Contact Phone Email Relationship to Camper(Required)Camp of InterestPlease indicate your preferred camp sessions. Rank choices 1–4, with 1 being the most desired camp. If you are unavailable for a camp week, or if a camp does not apply, please select N/A.History CampGrades K-2nd & 3rd-5th (Completed grade during the 2025-2026 school year)Pharos Philosophers and Kings (June 1-5)(Required)N/A1234Secret Superheroes (June 8-12)(Required)N/A1234Schematics to Skylines (June 15-18)(Required)N/A1234Myths, Magic, and Me! (June 22-26)(Required)N/A1234Writing CampGrades 6th-8th (Completed grade during the 2025-2026 school year) Stories from the Ruins (June 1-5)(Required)N/A1234Sketching Stories (June 8-12)(Required)N/A1234Going Once, Going Twice (June 15-18)(Required)N/A1234Hot Off the Press (June 22-26)(Required)N/A1234What would being awarded a scholarship mean for you and your family?(Required)Upload Georgia Title I School and Free/Reduced Lunch VerificationMax. file size: 100 MB.Homeschool Groups | Upload Statement of Need and Home Study Declaration of IntentMax. file size: 100 MB.Disclaimer and SignatureConsent(Required) I understand and agree to the following statements:• If awarded a summer camp scholarship, there is a $25 refundable* deposit to secure your reservation. Recipients will have 48 hours after notification to submit their deposit. • Parents/ Guardians are responsible for transporting campers to and from camp each day. AHC Summer Camp is located at 130 West Paces Ferry Road, Atlanta, GA, 30305. • Parents/ Guardians are responsible for supplying at least two (2) snacks and lunch for their camper each day. Consent(Required) If I accept an Atlanta History Center Summer Camp Scholarship, I agree to ensure my camper will attend each day of camp. If they are unable to attend camp, the $25 deposit will be forfeited.E-Signature(Required)