DreamLab Programs Girl/Adult Financial Assistance Form

DreamLab Summer Studios Girl Scout Financial Assistance Form

Girl Scouts of Northern New Jersey is committed to helping more girls and adults participate in the Girl Scout Leadership Experience program and activities, including DreamLab opportunities. The Council’s financial assistance program attempts to remove financial barriers that may prevent participation. Complete all information, as it pertains to your family's request. Grants are available to registered members to supplement the cost of participation in approved programs based on financial need. All application information will be kept confidential. We at GSNNJ value the diversity of the community we serve. This information is strictly for internal use only.
Please click here for more information on Girl Scout DreamLab Summer Studio Sessions.

For non-members, please note your registration fee will include an extended year membership through September 30, 2027. You will become a member of Girl Scouts with your registration cost.
*Please note: Financial Assistance for MEMBERSHIP is a different form. If you require the Financial Assistance for Membership form, please click on this link.
If you are requesting Financial Assistance for more than one DreamLab Summer Studio, please complete and submit a NEW, SEPARATE FORM for EACH DreamLab session.
Please list the names and information requested below for all girls in your family* who are requesting Financial Assistance for the Girl Scout DreamLab.

*Financial Assistance for GSNNJ Programs/Activities is only available to current, registered GSNNJ members (please see the first paragraph on this form).
DreamLab Summer Studio Name
DreamLab Summer Studio Start Date of Session Week:

MonthDayYear
Date
Girl Scout Applicant's Name

First NameLast Name
Girl Scout's Date of Birth
(mm/dd/yyyy)
Grade as of Fall 2026
School Name
Girl Scout Applicant's Name

First NameLast Name
Girl Scout's Date of Birth
(mm/dd/yyyy)
Grade as of Fall 2026
School Name
Girl Scout Applicant's Name

First NameLast Name
Girl Scout's Date of Birth
(mm/dd/yyyy)
Grade as of Fall 2026
School Name
Primary Caregiver's Name

First NameLast Name
Girl Scout's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Custodial Care:
If not both parents, then who is the custodial parent
Girl Scout is (check all that apply):

Other
Girl Scout is Hispanic or Latina:
Primary Caregiver's address (complete ONLY if different from Girl Scout's address):

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Caregiver's Birthdate
(mm/dd/yyyy)
I am the Primary Caregiver/Contact (as listed above)
Primary Caregiver's Gender:
Primary Caregiver's Race (check all that apply):

Other
Primary Caregiver is Hispanic or Latina:
By opting in for emails and text alerts, you agree to receive important information concerning membership, programs, cancellations, and closures as applicable. Understanding such content is not required to join. I wish to opt in for:
Primary Caregiver's Email
example@example.com
Primary Caregiver's Mobile/Cell Number
Format: (000) 000-0000.
Secondary Caregiver's Email
example@example.com
Secondary Caregiver's Mobile/Cell Number
Format: (000) 000-0000.
In order to accommodate girls of all abilities, please indicate if your child has any disabilities as defined by the Americans with Disabilities Act:
If yes, what accommodations does your child need:
Single Parent Household:
TOTAL Household Income FY2025 (Proof of total household income is required - you will be contacted to submit your W2 and/or 1099 forms.) :
Total number of family members this income supports
Age of siblings (please place commas between ages)
Occupation of Primary Caregiver
Is the Girl Scout's Primary Caregiver currently employed?
Occupation of Secondary Caregiver
Is the Girl Scout's Secondary Caregiver currently employed?
Extenuating Circumstances
Total Fees for your DreamLab Program:
Dollar amount the family is able to contribute toward the cost of the above DreamLab Program total fees:
Dollar amount the family is requesting from GSNNJ*:
*Please note that the total amount requested cannot be the same amount as the total program fees.
The Girl Scout Promise: On my honor, I will try: To serve God and my country, to help people at all times, and to live by the Girl Scout Law. (When making the Girl Scout Promise, individual members may substitue wording appropriate to their own spiritual beliefs for the word "God".)

The Girl Scout Law: I will do my best to be honest and fair, friendly and helpful, considerate and caring, courageous and strong, and responsible for what I say and do, and to respect myself and others, respect authority, use resources wisely, make the world a better place and be a sister to every Girl Scout.
I accept and abide by the Girl Scout Promise and Law:
When participating in Girl Scout activities, I (or the person I am registering) give consent to be interviewed, photographed, videotaped, or electronically imaged for purposes of promotional materials, news releases, or other published formats for either the local Girl Scout Council or Girl Scouts of the USA. The images will be the sole property of the local Girl Scout Council or Girl Scouts of the USA. I hereby release and hold harmless the local Girl Scout Council and Girl Scouts of the USA from any claim arising from the use of these images. I accept the Media Permission:
I understand that this programming is made possible through grant funding. As a requirement of this grant, my demographic data may be released to the grantor for data reporting purposes. I consent to this release of data and understand that it is being utilized for informational purposes only. By my signature below, I affirm that I have read this release and I comprehend its content.
Primary Caregiver/Contact Signature and CC Authorization.

Clear
Signature Date

MonthDayYear
Date
Should be Empty:

DreamLab Summer Studios Girl Scout Financial Assistance Form

Please list the names and information requested below for all girls in your family* who are requesting Financial Assistance for the Girl Scout DreamLab.