DCSC Scholarship Request

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Please fill out this form in order to request assistance with your child's camp tuition. Please be aware that scholarships may not be granted in the amount of 100%.

Camper Name *

Please Fill out separate form for multiple children.

Phone Number *

Email Address *

Church Congregation Affiliation *

Week of Camp Attending *

Check all that may apply. DO NOT FILL OUT FORM FOR MULTIPLE CHILDREN.

First Timers Week

Beginner Week

Junior Week

Middle School Week

High School Week

MAD Week

Wilderness Week

Required

Reason for Scholarship Request *

Please indicate how much of the tuition you are able to cover on your own. *

Only genuine financial need please apply due to limited funding. Please also consider requesting assistance from your church congregation. Please indicate if you have already requested assistance from your church congregation.

Do you consent to allow DCSC to share your information with a supporting church who may be able to provide financial assistance for your request?

Yes, I consent.

No, I do not wish for my information to be shared.

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