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