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 *
Required
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 *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy