It Takes A Village! Kroka Family Camp

Aug 4 - Aug 10 2019

Registration

Who are you?

I am a parent or guardian - registering my child to attend this program!

I am a prospective student - registering myself to attend this program!

History at Kroka:

This student will be coming to Kroka for the first time!

This student has registered for another Kroka program within the past 12 months.

This student has attended a previous Kroka program some time ago.

Student Contact Information



(Optional, please don't enter parent's number here...)

(Student's email address goes here,
parent information comes later!)

Biographical / Medical Information

Male Female

 

PLEASE WRITE A FEW SENTENCES FOR US ABOUT this student:

PLEASE DESCRIBE ANY CONCERNS THAT WE SHOULD BE AWARE OF:

Parent or Emergency Contact Information #1

check here if same as student address



Parent or Emergency Contact Information #2

check here if same as student address



Inspiration!
What inspired you to register for this program?
I/We have participated in Kroka before
Someone (a personal friend or teacher) recommended Kroka to us
I/We found you online!
I/We read the Kroka brochure, or saw a poster or print advertisement
I/We heard about Kroka at school, or on a school-sponsored Kroka trip
I/We personally met a Kroka staff member or program participants at a special event or out in the wilderness!
A mysterious force has led me here. I cannot explain it!
Tuition

As you may know, in an effort to make our high-quality programs available to all students, Kroka offers sliding scale tuition based on family income. Please indicate the appropriate tuition level for your household based on your most recent (combined) IRS 1040 ADJUSTED GROSS INCOME:

Level A: $1,715 Household Annual Income of $185,000 or more
Level B: $1,465 Household Annual Income of $100,000 - $184,000
Level C: $1,250 Household Annual Income of $70,000 - $99,000
Level D: $990 Household Annual Income of $50,000 - $69,000
Level E: $720 Household Annual Income of $30,000 - $49,000
Level F: $610 Household Annual Income up to $29,000

Once we receive and confirm your registration, we will send you an email with payment information.
You will have the option of paying by check or by credit card.

NOTE: Kroka is committed to making our programs available to any student and family that has a strong desire to come here. In addition to the sliding scale tuition system, we also offer additional scholarship support based on the unique circumstances and income level of a family. Once you have registered, you can download our scholarship application from our website here. A $100 deposit will reserve your place in the program while your scholarship application is being processed.

Confirm
Have you read our Parent Student Handbook?
By checking here I confirm that I have read the parent student handbook.
Please check this box:
Sorry robots!
Our programs are not intended for you.