Scholarship Application

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Today's Date

Camper/Attendee First Name

Camper/Attendee Last Name

Parent/Guardian First Name (if attendee is a minor)

Parent/Guardian Last Name (if attendee is a minor)

Address 1

Address 2

City

Zip / Post Code

Phone

Home Church

Church Phone

Event you are interested in attending

Are you planning on attending other camps this summer? If so, which ones and which dates?

Payment you can afford ($50 minimum)

What is your yearly income (from all sources)?

Please tell us why you are seeking assistance

As part of this request, we will do our best to: Pay a $50 minimum toward this event, Keep any personal spending money for the event to a minimum ($25), Raise funds to attend camp through fund raisers such as doing yard work in your neighborhood, asking friends and family to support you to attend camp. This money should be sent to camp to help offset the cost of the scholarship.

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Scholarship Application

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