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Camp Scholarship Application
Please fill out this form and submit. We will do all we can to help get your teen to camp this summer. By filling out this form it will help us determine how we can help you.
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* Indicates required question
Camper's Name:
*
Your answer
Parent's Name
*
Your answer
E-Mail
*
Your answer
Contact #
*
Your answer
How much of the $300 would you be able to pay?
*
$250
$200
$150
$100
$50
None
Other:
Would you be able to pay the full amount in scheduled payments from now through December?
*
Yes
No
Other:
My son/daughter has a summer job and could help by contributing
*
$150
$75
$50
Does not have a summer job
Other:
My son/daughter attends Contagious Youth on Sundays
*
Yes
No
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