MS Camp Scholarship Form

Middle School Camp Scholarship Form

Youth For Christ Indian River County
Parent/Guardian Name*

First NameLast Name
Student Name*

First NameLast Name
What grade is your student in?
What school does your child attend?
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Is this your child's first time attending YFC Camp with Indian River YFC?*
Has your child received a scholarship in the past for YFC Camp?*
What is your household income per year?*
How many people are in your household?*
What is the source(s) of your household income? (Job, unemployment, welfare, child support etc.)?*
As much detail here as possible helps us assess the need.
How much of the $425 for YFC Camp can you afford?*
Why do you want your child to attend YFC Camp?
Are there any extenuating circumstances which effect your ability to pay for YFC Camp that you would like us to know?
I, blanks certify that all information entered above is correct and true to the best of my knowledge.
Full Name
Signature

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Middle School Camp Scholarship Form