707 Fall Retreat 2022 Scholarship Application

707 Fall Retreat Scholarship Application

If you are in need of financial assistance to send your student to the 707 Fall Retreat, please fill out this form and submit it by October 12th.
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Amount of Scholarship Requested:

$25 (Family pays $200)$50 (Family pays $175)$75 (Family pays $150)$100 (Family pays $125)$125 (Family pays $100)$150 (Family pays $75)$175 (Family pays $50)$200 (Family pays $25)
How would you like to pay?

CashCheckDebit/Credit Card
Please briefly explain why you need financial assistance:
Once we receive this application Jill will email you a confirmation!

If you are paying by cash/check, you can send the money on a Wednesday night. If you are paying by debit/credit Jill will include a code to register online.

Please email jill.wright@oakpointe.org with any questions!
Should be Empty:

707 Fall Retreat Scholarship Application