United Church Camp Scholarship Request Form

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First Congregational Church, UCC - Sheboygan, WI
www.fccsheboygan.org

Applicants should be active members of FCC or from member households (at least one parent is a member).

Scholarship awards:
Children & Youth 30% of camp fee
Adults 15% of camp fee
Adult/Child Pairs 25% of camp fee
Family Camp 25% of camp fee

Requests for assistance beyond these levels are welcomed and considered on a case-by-case, confidential basis in consultation with the Christian Education Board Chair and one of the Pastors.

*Scholarships are awarded in the form of a reimbursement check made out to you after registration for camp is completed.

Name of Applicant (and family name, if applicable) *

Email *

Address *

Phone Number *

Number of Adult Applicants *

Number of Child or Youth Applicants *

Camp Location *

Daycholah Center

Moon Beach

Required

Name of Camp Session *

Dates of Camp Session *

Camp Session Fee *

Scholarship Request Amount (per guidelines above) *

Submit

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