Brenham Gamechangers Scholarship Application Form
Please fill out this form in it's entirety for camp/activity scholarship assistance. All forms will be reviewed. Not all students will be selected. BGC is not responsible for any accidents of students who receive camp scholarships.
Email address *
Student Last Name *
Student First Name *
Student Address *
Student City, State *
Student Age *
Student Birthday *
Student Grade Level *
Current school campus *
Parent/Guardian Name (Last, First) *
Parent Guardian Cell phone number *
How many children do you have? *
Does this student have health insurance? *
Is this your first time getting a BGC Scholarship? *
Which camp/activity does your child plan to attend? *
Is this request for a Brenham Community Education Program? *
Address of Activity/Camp *
Contact Name/Number for Activity? *
Amount needed *
What date are the funds due? *
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Brief statement and details of your financial need. *
I give permission for BGC to use my child's picture or video in BGC publications/promotions. *
A copy of your responses will be emailed to the address you provided.
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