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Scholarship Donation Form
Hopkinton Recreation Department
Camp Scholarship Donation

Yes!  I/We would like to help send one or more children to the Hopkinton Recreation Department’s Summer Day Camp.

Your Name/Organization_____________________________________

Street Address____________________________________________

City_________________________ State_______ Zip_____________

Phone_____________________________

Email Address (optional)___________________________________

Enclosed is a check for the camp scholarship fund in the amount of $_______
(Donations may be made in any amount.  $85 will send one child to the Summer Day Camp for one week).

__ Yes, you may list this contribution in Recreation Department materials

__ No, please do not list this contribution in Recreation Department materials.

Please make checks payable to “Hopkinton Recreation Department” and put in memo “camp scholarship program”.

Please return this form with your donation to: Hopkinton Recreation Department, 330 Main Street, Hopkinton, NH 03229

On behalf of our scholarship children…
THANK YOU!


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Town of Hopkinton 330 Main Street, Hopkinton, NH 03229
Phone (603) 746-3170    webmaster@hopkinton-nh.gov