Camper Scholarship Request Form

We work with our partner churches to provide camper scholarships in any amount up to the full registration fee. If applicable, please contact your church before filling out this request form so you know the amount you are requesting in financial assistance.

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Camper's Name *

First

Last

Program Attending

My church/group will provide a scholarship/fundraising/payment towards the registration fee.

yes
no
I don’t know

Church/Group Name, if applicable

Family Contribution, if applicable *

I can contribute this amount towards the registration fee. If needed, our staff can help you set up a payment plan that works for you.

Scholarship Amount Requested From Camp

Scholarships can be requested in any amount from partial registration fee to full.

Request Scholarship for additional camper