Parent/Guardian Phone Number (in case of questions) *
Your answer
Leader's name
Your answer
Other Phone Number
Your answer
Camper email address
Your answer
Parent/Guardian email address *
Your answer
Age *
Your answer
High School Class Of ... *
Your answer
School *
Your answer
Has the camper provided money towards their trip up to this point? If yes, how much? *
Your answer
How much are you requesting? (up to $100) *
Your answer
Is this the applicant's first time attending a week long Young Life summer camp program? *
Please provide an explanation of the need for financial assistance, why attendance at a week-long Young Life summer camp is desired, and any other information that may assist us in determining an award. *