2019 Camp Scholarship Application
Email address *
Teacher or Administrator Name *
Your answer
Teacher phone number *
Your answer
School Name *
Your answer
Camper/Student Name *
Your answer
Camper/Student Gender *
Camper/Student Birthdate *
MM
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DD
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YYYY
I recommend this student for financial assistance
Please tell us why *
(Please be brief, 100 words or less)
Your answer
This student qualifies for free or reduced price lunch *
Required
Parent/Guardian Name *
Please notify the parent / guardian that you have recommended the student for a Campership at Dunes Learning Center.
Your answer
Parent/Guardian Phone *
Please provide a current home and/or mobile phone number.
Your answer
Parent/Guardian Email *
Your answer
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