Scholarship Request Form
Please fill out this form in its entirety as an official request for financial assistance for the annual church-wide retreat. This form is needed to keep proper financial records for Citylife Presbyterian Church. It will be used for internal purposes only and will be kept confidential.

After receiving your request, we will contact you to confirm your scholarship. Please note that further follow up may be necessary, in order to make a final determination.

If you have any questions or concerns, please email:
Name *
Email *
Phone *
Amount of aid requested *
Discount will be applied to the current registration rate.
Detailed explanation for need: *
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