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Scholarship Application Form
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Email
*
Your email
Date:
MM
/
DD
/
YYYY
Parent / Guardian Name:
Your answer
Parent / Guardian Phone:
Your answer
Parent / Guardian Email:
Your answer
Camper(s) Name:
Your answer
Annual Income:
Less than $25,000
$25,000 - $50,000
$50,000 - $75,000
More than $75,000
Clear selection
Are you currently receiving financial aid in any way?
Yes
No
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Total Amount Requesting (please specify if this is for more than one camper):
Your answer
How did you hear about Still Water?
Your answer
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