2019 Camp Scholarship Application
The Camp Autrey Mill Scholarship was created to help children age 5-14 who otherwise would not have the opportunity to attend camp. The Scholarships are made possible through contributions from individuals, sponsors, partners, and membership supporters. Particular thanks this year belongs to the Country Club of the South's Charity Guild.
Parent Full Name *
Address *
Street, City, and Zip
Phone Number *
Emergency Contact Name- besides yourself *
Emergency Contact Number- besides yours *
Email *
Camper's Full Name *
Camper's Birth Date *
Campers T-Shirt Size? *
Does your camper have any allergies? *
What is your child's reading level?
Non- Reader
What is your child's first language?
What is your campers current average in school?
What are your camper's hobbies?
What is your camper's dream job?
Has your camper attended Autrey Mill Programs or Camps?
Last Name
Does your family contribute volunteer hours to any organization/s?
If so: Where and how many hours did you contribute in the last year?
Please upload a recommendation letter from mentor (teacher, minister, coach, etc...) stating why applicant would benefit from attending camp or email to info@autreymill.org
Scholarships are not available for every week of Camp and are only award to those 5-14 years of age for full day camps. If you are awarded scholarship aid, your award letter will indicate the camp sessions for which the award may be used. Applications should be submitted as soon as possible, there are a limited number of scholarships available.
By typing your name below you confirm the accuracy of the information entered above. *
Full Name
Today's Date *
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