Scholarship Application

Your full name (person filling out form)*

First NameLast Name

Your Email*

example@example.com

Your Phone Number*

Please enter a valid phone number.

What camp are you applying for?*

Adventure CampKindergarten CampKids Camp (DAY CAMP ONLY)Combination of Above Camps

If "Combination of Above Camps" is selected, please list all camps that you are applying for (Adventure Camp, Kindergarten Camp, and Kids Camp (DAY CAMP ONLY)).

If Kindergarten Camp, how many days of camp are you applying for?

How old are all kids being applied for?*

Number of Scholarships Requested (Number of Kids)*

10 maximum

Need(s) for Scholarship (select all that apply)*

This child/teen has never been to a camp beforeCamper is currently or recently has been on a free or reduced school lunch program.Parent or guardian currently on government assistance programs such as Food Stamps, WIC, etcCamper belongs to a family where one or more working-age adults are on government disability programsUnable to afford camp at regular rateCamper is in foster care or in the process of being adoptedAn older sibling is caring for younger siblings without another adult present in the homeCamper has just moved to the area and has limited social circles and difficulty making new friendsCamper has experienced childhood trauma in some form

Use this space to further describe the scholarship needs.*

Church Name*

Signature*

All information on this document is true and accurate to the best of my knowledge. I understand scholarships are awarded at the sole discretion of Crowders Camps.