Scholarship Request
Center Lake and faithful donors want to make a life-changing week at camp available to every child. Fill out the form below for financial assistance.
Camper Name *
Camper Address, City, State. Zip Code *
Camper Grade *
Contact Person *
Contact Person Address, City, State. Zip Code
Contact Person Phone Number *
Contact Person Phone Email *
Amount of Scholarship requested *
If Partial please specify amount
Please tell us a little about the child in need of the scholarship and the reason for needing the scholarship *
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